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Neil Winger, a primary care doctor and member of the UCLA Health Ethics Center, discusses advance directives. An advance directive is a legal document that allows individuals to specify their treatment preferences in case they become unable to make decisions for themselves. In optimal situations, healthcare providers and patients engage in shared decision-making. However, in unforeseen circumstances, such as severe illness or unconsciousness, patients may not be able to communicate their wishes. In such cases, it is crucial to designate someone—like a spouse, sibling, or trusted friend—who can assist doctors in making decisions on behalf of the patient. Advance directives ensure that medical care aligns with patient preferences even when they cannot speak for themselves.