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Dr. 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 medical decisions a person wishes to be made if they are unable to communicate those choices themselves. This situation may arise due to serious illness or unconsciousness, preventing optimal shared decision-making between patients and doctors. The advance directive allows individuals to designate a person—such as a spouse, sibling, or friend—to make healthcare decisions on their behalf when they cannot. It ensures that medical professionals know whom to consult, which emphasizes the importance of having these directives in place.