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Neil Winger, a primary care physician affiliated with the UCLA Health Ethics Center, discusses advance directives. An advance directive is a legal document that outlines a person's preferences for medical treatment if they are unable to communicate their wishes. This situation may arise if a patient is too ill or incapacitated to express their desires. Ideally, doctors and patients engage in shared decision-making to ensure treatments align with patient values. However, when patients cannot communicate, it’s crucial to designate someone—such as a spouse, sibling, or friend—as a surrogate decision-maker. Advance directives help ensure that the chosen person is recognized by healthcare professionals when decisions need to be made.