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In this tutorial, Dr. Neil Winger, a primary care doctor affiliated with the UCLA Health Ethics Center, discusses advance directives. An advance directive is a legal document that allows individuals to specify their treatment preferences in situations where they can no longer make decisions for themselves, such as when they are too ill or unconscious. He emphasizes the importance of shared decision-making between doctors and patients but acknowledges that there may be circumstances where patients cannot communicate their wishes. This raises the question of who should be consulted to make decisions on their behalf—options could include a spouse, sibling, or friend. It is crucial to establish clear directives to ensure that one's preferences are understood.