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Neil Winger, a primary care doctor affiliated with the UCLA Health Ethics Center, discusses advance directives, which are legal documents that outline an individual's preferences for medical treatment when they cannot make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients but acknowledges scenarios where patients may be incapacitated and unable to communicate. In such cases, it is crucial to designate someone—like a spouse, sibling, or friend—who can make healthcare decisions on behalf of the patient. Advance directives ensure that medical decisions align with the patient’s wishes even when they cannot express them directly.