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Dr. Neil Winger, a primary care physician and collaborator with the UCLA Health Ethics Center, discusses advance directives. An advance directive is a legal document that specifies an individual's medical preferences in situations where they cannot make decisions for themselves, such as severe illness or unconsciousness. In optimal scenarios, doctors and patients engage in shared decision-making, ensuring treatments align with patient wishes. However, if a patient is unable to communicate, it is crucial to designate someone—like a spouse, sibling, or friend—who can make those decisions. The advance directive provides clarity on whom physicians should consult, ensuring that patient values are respected.