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Neil Winger, a primary care physician affiliated with the UCLA Health Ethics Center, discusses advance directives. An advance directive is a legal document that specifies the medical decisions a person wishes to be followed if they become unable to communicate their preferences. It addresses situations where effective shared decision-making between doctors and patients is hindered, such as when a patient is too ill or unconscious. Winger emphasizes the importance of designating a trusted individual, like a spouse, sibling, or friend, to make decisions on behalf of the patient. Without this documentation, doctors may not know whom to consult for guidance in critical situations.