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Neil Winger, a primary care physician affiliated with the UCLA Health Ethics Center, discusses advance directives, which are legal documents that specify patient preferences for medical treatment when they are unable to communicate those wishes themselves. He highlights the importance of shared decision-making between doctors and patients but acknowledges that emergencies can prevent patients from expressing their desires. In such cases, it is crucial to designate someone—such as a spouse, sibling, or friend—to make decisions on the patient's behalf. However, he notes that if a friend is chosen, it may not be clear to healthcare providers that they should be consulted. This underscores the need for advance directives to clarify these preferences.
