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In this video, Dr. Neil Winger discusses advance directives, which are legal documents that express a person's wishes regarding medical treatment when they cannot make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients, but acknowledges that circumstances can arise where patients are unable to communicate, such as severe illness or unconsciousness. In such cases, it is crucial to designate someone, like a spouse, sibling, or trusted friend, to make decisions on the patient's behalf. He highlights that healthcare providers may not know whom to consult unless explicitly informed through advance directives.