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Neil Winger, a primary care doctor and member of the UCLA Health Ethics Center, discusses advance directives, which are legal documents that allow individuals to express their medical treatment preferences in situations where they cannot make decisions for themselves. He emphasizes the importance of advance directives in ensuring that patients' treatment aligns with their wishes during critical times when they might be unable to communicate, such as being too ill or unconscious. Winger highlights the need for patients to designate a trusted person—such as a spouse, sibling, or friend—who can make decisions on their behalf, noting that doctors may not automatically know who to consult without this guidance.