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Neil Winger, a primary care physician and member of the UCLA Health Ethics Center, discusses advance directives. An advance directive is a legal document that outlines a person's wishes regarding medical treatment when they are unable to make decisions for themselves. This situation can arise if a patient is too ill or incapacitated. Typically, shared decision-making between patients and doctors ensures that treatments align with patient preferences. However, during emergencies, determining who can make decisions on a patient's behalf is crucial. Patients may designate a spouse, sibling, or friend, but it is important for healthcare providers to know who to consult in these circumstances.