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Some of the criticisms of advance care planning noted by the authors and oth- ers (Fagerlin and Schneider 2004), such as patients' limited factual understanding that informs a preference, the nar- row range of content accommodated in typical directive documents, the translation of document content into actual decisions

The major drawback to an advanced directive is that it is a piece of paper. A doctor might not know of its existence or it might not be produced in time to be of much use. There's also a possibility it won't be honored if it's from another state.

Among the 795,909 people in the 150 studies we analyzed, 36.7 percent had completed an advance directive, including 29.3 percent with living wills.

A simple, straightforward document called an advance directive allows you to express your wishes if you become incapacitated and unable to communicate. Advance directives are recognized in every state, and millions of Americans have them as part of their medical records.

Communicates a patient's wishes regarding medical treatment when he or she is unable to make decisions due to terminal illness or incapacitation. The main drawback of a living will is that it is general in nature and does not cover all possible situations.

A new study in the Journal of the American Medical Association finds that advance directives are linked to less Medicare spending, lower likelihood of dying in a hospital, and higher usage of hospice care in areas of the U.S. that tend to spend the most on end of life care generally.

What Happens If I Don't Make an Advance Directive? You will receive medical care regardless of whether or not you have an advance directive.If you cannot speak for yourself and do not have an advance directive, a physician will generally look to your family, friends, or clergy for decisions about your care.