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Dr. Neil Winger, a primary care physician and member of the UCLA Health Ethics Center, discusses advance directives, which are legal documents that specify a person's healthcare preferences in case they become unable to make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients, but notes that there are situations where patients may be unable to communicate their wishes, such as in severe illness or unconsciousness. In those cases, it's crucial to designate a trustworthy individual—like a spouse, sibling, or friend—who can make decisions on their behalf. However, he highlights the potential issue of whether healthcare providers would recognize that person as the appropriate decision-maker.