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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 the types of medical decisions one would want made if they are unable to communicate their wishes. While doctors and patients typically engage in shared decision-making, situations may arise where patients cannot convey their preferences due to illness or unconsciousness. In such cases, it is crucial to designate someone, such as a spouse, sibling, or friend, to help communicate one’s wishes to medical professionals. Advance directives ensure that healthcare decisions align with the patient’s desires, even when they are unable to articulate them.