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Neil Winger, a primary care physician and member of the UCLA Health Ethics Center, discusses advance directives. An advance directive is a legal document that specifies the kinds of medical treatments a person would want if they are unable to make decisions for themselves due to severe illness or unconsciousness. In optimal situations, doctors and patients engage in shared decision-making. However, in unusual circumstances where patients cannot communicate, it is essential to have someone designated to make healthcare decisions on their behalf, such as a spouse, sibling, or close friend. Without an advance directive, healthcare providers may not know whom to consult for guidance in these critical situations.