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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 medical preferences in situations where they cannot make decisions for themselves. These circumstances may arise if a patient is too ill or unconscious. The goal is to ensure that healthcare providers understand the patient's wishes regarding treatment, even when direct communication is impossible. It's essential to designate a trusted individual, such as a spouse, sibling, or close friend, to make decisions on the patient's behalf since healthcare professionals may not know whom to consult without this guidance.