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Neil Winger, a primary care physician and member of the UCLA Health Ethics Center, discusses advance directives. An advance directive is a legal document that outlines an individual's preferences for medical treatment in situations where they cannot make decisions for themselves, such as being too ill or unconscious. In optimal scenarios, doctors and patients engage in shared decision-making to align treatments with patient desires. However, in critical situations when patients cannot communicate, it's essential to designate someone—like a spouse, sibling, or friend—to make decisions on their behalf. The advance directive ensures that healthcare providers know whom to consult for these important choices.