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Neil Winger, a primary care physician associated with the UCLA Health Ethics Center, discusses advance directives, which are legal documents that outline a person's wishes regarding medical treatment when they can no longer communicate. He emphasizes the importance of shared decision-making between doctors and patients; however, certain situations may prevent patients from expressing their preferences, such as severe illness or unconsciousness. In these cases, it’s crucial to designate someone—like a spouse, sibling, or friend—who can make decisions on the patient’s behalf. Winger highlights the need for clarity about whom doctors should consult in such circumstances to ensure that a patient's wishes are honored.
