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Dr. Neil Winger, a primary care physician and member of the UCLA Health Ethics Center, discusses advance directives. An advance directive is a legal document that specifies the medical decisions you want to be made on your behalf when you cannot communicate your preferences. This situation may arise if you are too ill or incapacitated. Ideally, patient-physician interactions involve shared decision-making, ensuring treatments align with patient wishes. However, when patients are unable to express their desires, it's important to appoint someone—like a spouse, sibling, or trusted friend—who can communicate your choices to healthcare providers. Advance directives facilitate this process, ensuring your preferences are respected.