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In this video, Dr. Neil Winger discusses advance directives, which are legal documents that outline an individual's wishes regarding medical treatment when they're unable to communicate due to illness or other circumstances. He emphasizes the importance of shared decision-making between doctors and patients but acknowledges situations where patients can't express their preferences. In such cases, it's crucial to designate a person—like a spouse, sibling, or friend—who can make medical decisions on the patient's behalf. Dr. Winger highlights that healthcare providers need to know whom to consult, underscoring the necessity of having an advance directive in place.