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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 treatment preferences when they are unable to make decisions for themselves. Such situations may arise due to illness or emergencies. Winger emphasizes the importance of shared decision-making between patients and doctors to ensure treatments align with patients' wishes. In cases where patients cannot communicate, it is crucial to designate someone, like a spouse, sibling, or friend, to aid in decision-making. However, doctors may not know to consult a friend unless specified in the advance directive.