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Neil Winger, a primary care physician affiliated with the UCLA Health Ethics Center, discusses advance directives, which are legal documents outlining a person's healthcare preferences when they are unable to make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients but acknowledges that situations can arise where patients cannot communicate their wishes, such as being too ill or unconscious. In these scenarios, it is crucial to designate a trusted individual—like a spouse, sibling, or friend—to guide healthcare decisions. This ensures that healthcare providers know whom to consult regarding the patient's preferences when they cannot voice them themselves.