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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 an individual's wishes regarding medical treatment when they cannot make decisions for themselves. He highlights the importance of shared decision-making between doctors and patients, emphasizing that there are situations where a patient may be unable to communicate, such as being too ill or unresponsive. In such cases, advance directives help identify who the medical team should consult for decision-making, whether it's a spouse, sibling, or friend, ensuring that a patient's preferences are respected even if they can’t express them.