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Neil Winger, a primary care doctor at UCLA Health Ethics Center, discusses advance directives—legal documents that specify a person's wishes for medical decisions when they cannot advocate for themselves. He emphasizes the importance of shared decision-making between doctors and patients but acknowledges that there may be scenarios where the patient is unable to communicate (e.g., illness or unconsciousness). In such cases, it's crucial to designate a decision-maker, such as a spouse, sibling, or friend. However, if the chosen individual is not well-known to the doctors, it may lead to difficulties in making informed medical decisions on the patient’s behalf. Therefore, establishing clear directives is essential.