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Neil Winger, a primary care doctor associated with the UCLA Health Ethics Center, discusses advance directives. An advance directive is a legal document that outlines an individual's wishes regarding medical treatment in situations where they cannot communicate their decisions, such as severe illness or unconsciousness. While doctors and patients ideally engage in shared decision-making, there are times when a patient cannot express their preferences. In such cases, it's crucial to have someone designated to make medical decisions on their behalf, like a spouse, sibling, or friend. However, for friends to be recognized as decision-makers, proper documentation is necessary.