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Dr. 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 patient's preferences for medical treatment if they are unable to make decisions for themselves. This situation may arise if the patient is too ill or unresponsive. In such cases, it is important to designate a decision-maker, such as a spouse, sibling, or friend. However, healthcare providers may not automatically know who to consult, which underscores the need for advance directives. These documents facilitate communication between patients and healthcare professionals, ensuring that treatment aligns with the patient's desires even when they cannot voice them.