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In this video, Dr. Neil Winger discusses advance directives, which are legal documents that express a person's healthcare preferences in situations where they cannot make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients. However, in unforeseen circumstances where patients are unable to communicate—due to severe illness or other emergencies—it is crucial to have a designated person (spouse, sibling, or friend) who can make decisions on their behalf. The video highlights that advance directives ensure that healthcare providers know whom to consult for guidance on the patient's wishes when they're unable to articulate them themselves.