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Neil Winger, a primary care physician and collaborator at the UCLA Health Ethics Center, discusses advance directives. An advance directive is a legal document that allows individuals to specify their healthcare preferences in situations where they cannot make decisions for themselves, such as being too ill or unresponsive. The goal is to ensure that medical treatments align with the patient's wishes through shared decision-making between doctors and patients. In instances when patients cannot communicate, it's important to designate someone—like a spouse, sibling, or friend—who can assist physicians in making decisions. This ensures that care reflects the patient's desires even when they are unable to voice them.