An Advance Health Directive is an individual's legally binding document made while they are still well in mind.<br />
The Patient Self-Determination Act is the law that makes an individual's wishes legally binding if expressed while of sound mind, (or with evident awareness of the consequences of the decisions).<br />
If a person new to health care confuses these two, it is because they haven't yet understood the distinction between the personal and the state roles in deciding health care issues.

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