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In this tutorial, Dr. Neil Winger discusses advance directives, which are legal documents that specify a person's preferences for medical treatment when they are unable to make decisions for themselves. He explains that while optimal healthcare involves shared decision-making between doctors and patients, circumstances may arise – such as severe illness or unconsciousness – where communication is not possible. In such cases, advance directives designate a trusted individual, like a spouse, sibling, or friend, to make decisions on the patient's behalf. This ensures that medical care aligns with the patient's wishes, even when they cannot express them. The tutorial emphasizes the importance of having these directives in place for healthcare planning.