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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 decisions you want if you're unable to communicate them yourself. This typically occurs when patients are too ill or incapacitated to engage in shared decision-making with their doctors. The directive also designates a person—like a spouse, sibling, or friend—whom doctors can consult to make decisions on your behalf. Without such a directive, there may be uncertainty about who can make those crucial decisions during challenging times.