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Neil Winger, a primary care doctor at UCLA's Health Ethics Center, discusses advance directives, which are legal documents outlining a person's treatment preferences when they cannot make decisions themselves. He emphasizes the importance of shared decision-making between doctors and patients but acknowledges that there may be situations where a patient cannot communicate due to illness or incapacitation. In such cases, advance directives specify who should be consulted for decision-making—such as a spouse, sibling, or friend. This ensures that doctors know whom to turn to for guidance, highlighting the necessity of having clear preferences documented in advance.