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Neil Winger, a primary care physician affiliated with the UCLA Health Ethics Center, discusses advance directives, which are legal documents that outline a person's preferences for medical treatment when they cannot make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients. However, in situations where patients cannot communicate—due to severe illness or emergencies—advance directives become crucial. They specify who should be consulted for decision-making, whether it's a spouse, sibling, or friend. By establishing clear preferences and appointing a decision-maker, patients ensure their medical wishes are honored even when they are unable to voice them.