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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 your wishes regarding medical treatment when you're unable to make decisions for yourself. This situation could arise if you're too ill or unresponsive. Typically, doctors and patients engage in shared decision-making, but under certain circumstances, the patient may not be able to communicate. The advance directive designates a person, such as a spouse, sibling, or friend, who can make healthcare decisions on your behalf. It ensures that your preferences are known and respected in critical situations.