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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 an individual's preferences for medical treatment when they are unable to make decisions for themselves. This situation could arise if a patient is too ill or unconscious, preventing communication with healthcare providers about their wishes. It is crucial to designate a trusted person—such as a spouse, sibling, or friend—who can make medical decisions on one's behalf in such circumstances. Advance directives ensure that treatment aligns with the patient’s desires, especially when they cannot participate in shared decision-making with their doctors.