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Neil Winger, a primary care doctor affiliated with the UCLA Health Ethics Center, discusses advance directives, which are legal documents allowing individuals to specify their treatment preferences if they become unable to make decisions. He emphasizes the importance of shared decision-making between doctors and patients, highlighting situations where patients may be too ill or incapacitated to communicate their wishes. In such cases, it's crucial to designate a person—such as a spouse, sibling, or friend—who can make decisions on one's behalf. However, if a friend is chosen, there may be concerns about whether doctors would recognize and consult that individual.