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Dr. Neil Winger, a primary care doctor affiliated with the UCLA Health Ethics Center, discusses advance directives. An advance directive is a legal document that outlines a person's wishes regarding medical treatment when they cannot make decisions for themselves. This situation may arise if a patient is too ill or incapacitated to communicate with their doctor. Effective shared decision-making between physicians and patients is ideal, but in emergencies, clear directives help determine who should make decisions on behalf of the patient—often a spouse, sibling, or trusted friend. Clarity in these directives ensures that medical teams know whom to consult about the patient's preferences.