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Neil Winger, a primary care physician and member of the UCLA Health Ethics Center, discusses advance directives, which are legal documents that allow individuals to specify their treatment preferences if they become unable to make decisions. He emphasizes the importance of shared decision-making between doctors and patients but acknowledges situations where patients cannot communicate, such as severe illness or unconsciousness. In such cases, it’s crucial to determine who should make decisions on the patient’s behalf—this could be a spouse, sibling, or friend. Advance directives help ensure that healthcare providers know whom to consult and what the patient would want in those challenging circumstances.
