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In this video, 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 an individual’s preferences for medical treatment when they are unable to make decisions for themselves, such as during severe illness or unconsciousness. Typically, doctors and patients engage in shared decision-making, but in certain situations, patients cannot communicate their wishes. Therefore, it is crucial to designate someone—like a spouse, sibling, or friend—who can make decisions on their behalf. Advance directives ensure that medical treatments align with the patient’s preferences, even when they cannot express them.