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Neil Winger, a primary care physician at UCLA Health Ethics Center, discusses advance directives, which are legal documents that outline a person's healthcare wishes when they are unable to communicate their decisions. He emphasizes the importance of shared decision-making between doctors and patients. However, in certain situations where patients cannot express their preferences, such as being too ill or unconscious, it's crucial to designate someone to make decisions on their behalf. Winger notes that this could be a spouse, sibling, or friend, but it's essential that medical personnel know who to consult in these scenarios, highlighting the need for advance directives.