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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 specify a person's wishes regarding medical treatment in situations where they cannot make decisions for themselves. Such scenarios may arise if a patient is too ill or unconscious. Advance directives facilitate communication between doctors and the patient's designated decision-maker, which could be a spouse, sibling, or friend. However, if a friend is chosen, doctors may not recognize them as a decision-maker. Therefore, it is essential to establish advance directives to ensure that medical care aligns with a patient’s preferences when they are unable to communicate.