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In the tutorial, Dr. Neil Winger discusses advance directives, which are legal documents that allow individuals to specify their treatment preferences in case they cannot make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients. However, situations may arise where patients are unable to communicate—due to severe illness or emergencies. In such cases, it is crucial to designate someone, like a spouse, sibling, or friend, to make decisions on one's behalf. Dr. Winger underscores the necessity of advance directives to ensure that healthcare providers know whom to consult for guidance on a patient's wishes.