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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 allow individuals to specify their preferences for medical treatment when they cannot make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients. However, there are times when patients cannot communicate due to illness or emergencies, making it essential to have designated individuals to make decisions on their behalf. This could be a spouse, sibling, or friend, but it is crucial to ensure that healthcare providers are aware of who these individuals are to guide treatment decisions effectively.