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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 allows individuals to specify their medical preferences if they become unable to make decisions for themselves. This situation may arise if a patient is critically ill or incapacitated. In such cases, doctors typically rely on a designated person, such as a spouse, sibling, or friend, to make decisions on their behalf. However, it is important that patients identify this person in advance, as doctors may not know whom to consult if no directive is in place.