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Neil Winger, a primary care physician associated with the UCLA Health Ethics Center, discusses advance directives. An advance directive is a legal document that specifies the medical decisions one would want if they are unable to communicate their preferences. This situation could arise in cases where patients are too ill or incapacitated to engage in shared decision-making with their doctors. To ensure that medical treatments align with the patient's wishes, it's important to designate a person—like a spouse, sibling, or trusted friend—who can speak for the patient if needed. However, it's crucial for healthcare providers to know who that designated person is to facilitate appropriate decision-making.