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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 a person's wishes regarding medical treatment when they are unable to make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients, but notes that situations can arise where patients cannot communicate due to severe illness or emergencies. In such cases, advance directives designate an individual, such as a spouse, sibling, or friend, to make decisions on the patient's behalf. This ensures that healthcare providers know whom to consult for guidance on the patient's preferences.