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Neil Winger, a primary care physician affiliated with the UCLA Health Ethics Center, discusses advance directives. An advance directive is a legal document that specifies a person's healthcare preferences when they are unable to make decisions for themselves. This situation can arise if a patient is too ill or unconscious to communicate. In such cases, it's crucial to designate a decision-maker—someone like a spouse, sibling, or friend—whom doctors can consult regarding treatment choices. Winger emphasizes the importance of advance directives in ensuring that medical decisions align with the patient's wishes when they can't directly communicate them.