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Neil Winger, a primary care doctor at UCLA Health Ethics Center, discusses advance directives. An advance directive is a legal document that allows individuals to specify their healthcare preferences when they are unable to make decisions for themselves, often due to severe illness or incapacity. Typically, shared decision-making between doctors and patients ensures treatments align with patient desires. However, in situations where patients cannot communicate, it is crucial to designate a trusted person—such as a spouse, sibling, or friend—whom healthcare providers can consult for decision-making. This ensures that the patient's wishes are respected even when they cannot voice them.