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Neil Winger, a primary care doctor affiliated with the UCLA Health Ethics Center, discusses advance directives, which are legal documents that specify a person's healthcare preferences when they cannot communicate their wishes. He emphasizes the importance of shared decision-making between doctors and patients, but acknowledges that there are situations where patients may be unable to express their desires, such as when they are too ill or unconscious. In such cases, it is crucial to designate someone—such as a spouse, sibling, or trusted friend—to make decisions on their behalf. Advance directives ensure that the right person is consulted for making healthcare decisions.