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In this video, Dr. Neil Winger discusses advance directives, which are legal documents allowing individuals to specify their healthcare preferences in case they cannot make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients but acknowledges situations where communication may be impossible, such as severe illness or unconsciousness. In such cases, advance directives help identify who can make decisions on the patient's behalf, whether it be a spouse, sibling, or friend. Dr. Winger highlights that clear documentation is crucial for ensuring that healthcare providers know who to consult for guidance in these scenarios.