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Neil Winger, a primary care doctor affiliated with the UCLA Health Ethics Center, discusses advance directives. An advance directive is a legal document that specifies a person's wishes regarding medical treatment when they are unable to make decisions for themselves, such as during severe illness or unconsciousness. Effective communication between doctors and patients typically facilitates shared decision-making. However, in critical situations where patients cannot express their preferences, it's essential to designate a decision-maker, such as a spouse, sibling, or friend. Advance directives ensure that healthcare providers know whom to consult for guidance on treatment choices in the patient's absence.