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In this video, Dr. Neil Winger discusses advance directives, which are legal documents that allow individuals to specify their healthcare preferences in situations where they cannot make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients, but notes that unforeseen circumstances may prevent patients from communicating their wishes, such as severe illness or unconsciousness. In these cases, advance directives help identify who should make decisions on the patient's behalf, whether it's a spouse, sibling, or friend. The video underscores the necessity of having these directives in place to ensure that healthcare providers know whom to consult for guidance.