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Neil Winger, a primary care physician affiliated with the UCLA Health Ethics Center, discusses advance directives. An advance directive is a legal document that outlines a person's treatment preferences when they cannot make decisions for themselves, such as in cases of severe illness or unconsciousness. While shared decision-making between doctors and patients is ideal, there are situations where patients may be unable to communicate their wishes. In these cases, having an advance directive allows patients to designate someone—like a spouse, sibling, or friend—to make decisions on their behalf. This ensures that medical personnel can consult the appropriate person to honor the patient's preferences.