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Neil Winger, a primary care doctor and member of the UCLA Health Ethics Center, discusses advance directives, which are legal documents allowing individuals to specify their medical preferences when they cannot make decisions for themselves. While shared decision-making between doctors and patients is ideal, there are situations where patients may be unable to communicate due to severe illness or emergencies. In such cases, an advance directive designates a decision-maker—often a spouse, sibling, or friend—who can guide the medical team in aligning treatments with the patient's wishes. This ensures that personal preferences are respected even when the patient is unable to voice them.