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Neil Winger, a primary care physician affiliated with the UCLA Health Ethics Center, discusses advance directives, which are legal documents outlining a person's preferences for medical treatment when they cannot make decisions themselves. This situation might arise if a patient is too ill or unresponsive, making it essential to have a designated person, such as a spouse, sibling, or friend, to guide medical decisions. Winger emphasizes the importance of advance directives to ensure that healthcare professionals know whom to consult for the patient's wishes, particularly when effective communication is not possible.