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Neil Winger, a primary care physician affiliated with the UCLA Health Ethics Center, discusses advance directives, which are legal documents that specify a person's wishes for medical treatment if they are unable to make decisions for themselves. He highlights the importance of shared decision-making between doctors and patients but acknowledges situations where patients may be incapacitated and unable to communicate their preferences. In such cases, it's crucial to designate someone—like a spouse, sibling, or friend—who can guide doctors in making decisions aligned with the patient's desires. He emphasizes the need for advance directives to ensure that a patient's wishes are honored when they cannot advocate for themselves.
