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Dr. Neil Winger, a primary care physician affiliated with the UCLA Health Ethics Center, discusses advance directives, which are legal documents that express an individual's healthcare preferences when they are unable to make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients to ensure treatments align with patients' wishes. However, in situations where patients cannot communicate—due to severe illness or unconsciousness—decisions must be made on their behalf. Dr. Winger highlights the need to designate a trusted person, such as a spouse, sibling, or friend, to guide healthcare decisions in these circumstances, ensuring that medical professionals know who to consult.