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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 specifies the medical decisions a person would want if they are unable to communicate those wishes. Such situations may arise if a patient is too ill or unconscious. In these cases, it’s crucial to have someone designated to make decisions on the patient’s behalf, whether that's a spouse, sibling, or friend. However, if the designated person is a friend, there may be uncertainty for doctors about whom to consult. This underscores the necessity of having clear advance directives to guide medical decision-making when the patient cannot participate.