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Neil Winger, a primary care doctor affiliated with the UCLA Health Ethics Center, discusses advance directives, which are legal documents allowing individuals to outline their medical care preferences when they cannot make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients in normal circumstances. However, there are situations—such as severe illness or unconsciousness—where patients are unable to communicate their wishes. In such cases, it's crucial to designate someone, like a spouse, sibling, or trusted friend, who can make decisions on the patient's behalf. Without prior documentation, doctors may not know whom to consult.