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Neil Winger, a primary care physician at UCLA, discusses advance directives, which are legal documents allowing individuals to specify their treatment preferences if they become unable to make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients to ensure treatments align with patients' wishes. However, in situations where patients are incapacitated and cannot communicate, such as severe illness or emergencies, it becomes crucial to have designated individuals whom doctors can consult for decision-making. This ensures that the patient’s preferences are honored, even when they cannot voice them directly.