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Neil Winger, a primary care doctor affiliated with the UCLA Health Ethics Center, discusses advance directives. An advance directive is a legal document that outlines a person's preferences for medical treatment in situations where they are unable to make decisions for themselves, such as being too sick or unconscious. In typically collaborative doctor-patient relationships, shared decision-making is essential. However, there may be instances when a patient cannot communicate their wishes. Therefore, it is crucial to designate someone, such as a spouse, sibling, or friend, to make decisions on their behalf. Advance directives help ensure that medical care aligns with a patient’s preferences, even when they cannot express them directly.