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Neil Winger, a primary care doctor associated with the UCLA Health Ethics Center, discusses advance directives, which are legal documents allowing individuals to specify their medical treatment preferences in case they are unable to make decisions for themselves. This situation may arise when patients are too ill or unconscious to communicate effectively with their doctors. It emphasizes the importance of shared decision-making between doctors and patients to ensure treatments align with patient wishes. Winger highlights the need for clarity on who should be consulted for decision-making in such circumstances, whether it's a spouse, sibling, or friend, noting that doctors may not know to reach out to a chosen friend without proper documentation.