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Neil Winger, a primary care doctor affiliated with the UCLA Health Ethics Center, discusses advance directives, which are legal documents that allow individuals to specify their medical preferences in situations where they cannot communicate their wishes. Such circumstances might include severe illness or emergencies. While ideally, doctors and patients engage in shared decision-making, there are times when patients cannot express their desires. Advance directives ensure that healthcare providers know whom to consult for decision-making—potentially a spouse, sibling, or friend—ensuring that treatment aligns with the patient’s values and preferences, even when they are unable to voice them.