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Neil Winger, a primary care doctor associated with the UCLA Health Ethics Center, discusses advance directives, which are legal documents that enable individuals to specify their healthcare preferences in case they become unable to make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients for treatment alignment with patient desires. However, there are situations where patients cannot communicate, such as severe illness or unconsciousness. In these cases, advance directives designate a decision-maker, like a spouse or friend. Clarity in these documents ensures that healthcare providers know who to consult regarding the patient's wishes.