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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 specifies what medical decisions you want made on your behalf if you're unable to communicate. This situation might arise if a patient is too ill or unconscious. Ideally, healthcare decisions are made collaboratively between doctors and patients, but in emergencies, clear guidance is essential. It's important to designate a trusted individual, such as a spouse, sibling, or friend, to make decisions for you. However, if a friend is chosen, it may not be clear to doctors who to consult, emphasizing the need for defined advance directives.