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Neil Winger, a primary care physician and member of the UCLA Health Ethics Center, discusses advance directives, which are legal documents that specify a person's treatment preferences if they are unable to make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients, but acknowledges that there are scenarios where patients cannot communicate, such as severe illness or unresponsiveness. In such cases, advance directives help identify who can make decisions on the patient's behalf, whether that's a spouse, sibling, or friend. Winger highlights the necessity of having these documents to ensure that healthcare providers know whom to consult for patient preferences.