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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 treatment preferences when 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, preventing them from communicating their wishes. In such cases, it's crucial to designate someone, like a spouse, sibling, or close friend, to make decisions on their behalf. However, he notes that healthcare providers may not recognize friends as decision-makers, highlighting the need for clear directives.