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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 allows individuals to specify their healthcare preferences in case they become unable to make decisions for themselves. Such situations can arise if a patient is too ill or unconscious to communicate their desires to healthcare providers. The advance directive designates a person, such as a spouse, sibling, or trusted friend, to make decisions on the patient’s behalf. This ensures that the patient's treatment aligns with their wishes, even when they cannot engage in shared decision-making with their doctors.