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Neil Winger, a primary care doctor associated with the UCLA Health Ethics Center, discusses advance directives. An advance directive is a legal document that allows individuals to specify their treatment preferences when they cannot make decisions for themselves. This situation may occur if a patient is too ill or unconscious, making it impossible to communicate with healthcare providers. It's essential to designate a decision-maker, such as a spouse, sibling, or friend, who can guide the doctors in such circumstances. The presence of an advance directive ensures that a patient's wishes are known and respected, even when they cannot express them directly.