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In this video, Dr. Neil Winger discusses advance directives, which are legal documents enabling individuals to outline their medical decisions when they are unable to communicate. He emphasizes the importance of shared decision-making between doctors and patients but acknowledges that there may be situations where patients cannot express their wishes, such as being too ill or unconscious. In these cases, it's crucial to designate a trusted individual, like a spouse, sibling, or friend, to make decisions on their behalf. Advance directives ensure that healthcare providers know whom to consult for guidance in such scenarios.