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Neil Winger, a primary care physician affiliated with the UCLA Health Ethics Center, discusses advance directives, which are legal documents allowing individuals to specify their treatment preferences in case they are unable to make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients but acknowledges situations where patients may be incapacitated, making it impossible for them to communicate their wishes. In such cases, it's crucial to designate someone—such as a spouse, sibling, or friend—who can assist in decision-making. Winger highlights that without clear documentation, healthcare professionals may not be aware of whom to consult for these critical decisions.