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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 specifies the medical treatments you wish to receive if you are unable to communicate your decisions due to circumstances like severe illness or unconsciousness. In ideal situations, doctors and patients engage in shared decision-making; however, there are instances when patients cannot express their preferences. In such cases, it’s crucial to designate someone—be it a spouse, sibling, or friend—whom doctors can consult for decision-making. Understanding the importance of this document ensures your wishes are honored when you can’t voice them.