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Neil Winger, a primary care doctor and member of the UCLA Health Ethics Center, discusses advance directives. An advance directive is a legal document that allows individuals to specify their treatment preferences in situations where they are unable to make decisions for themselves. This can occur if a patient becomes too ill or unresponsive. Ideally, doctors and patients engage in shared decision-making, but in emergencies, it is crucial to designate a trusted person—such as a spouse, sibling, or friend—who can communicate those preferences. Advance directives ensure that healthcare providers know whom to consult for decision-making when the patient cannot express their wishes.