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Dr. Neil Winger, a primary care physician associated with the UCLA Health Ethics Center, discusses advance directives, which are legal documents that specify a person's preferences for medical treatment in case they become unable to make decisions themselves. He highlights the importance of shared decision-making between doctors and patients but acknowledges situations where patients cannot communicate their wishes, such as severe illness or unconsciousness. In these cases, it's crucial to designate a trusted individual—like a spouse, sibling, or friend—whom doctors can consult for decision-making. This emphasizes the need for advance directives to ensure that a patient's treatment aligns with their personal wishes.