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Neil Winger, a primary care physician affiliated with the UCLA Health Ethics Center, discusses advance directives, which are legal documents allowing individuals to specify their medical preferences in case they become unable to communicate their wishes. This situation may arise if a patient is too ill or unconscious to engage in shared decision-making with their healthcare providers. Winger emphasizes the importance of designating a trusted individual, such as a spouse, sibling, or friend, to make healthcare decisions on one's behalf. He highlights that without an advance directive, healthcare professionals may not know whom to consult for guidance on the patient’s preferences.