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In this video, Dr. Neil Winger discusses advance directives, which are legal documents that specify a person's healthcare preferences when they cannot make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients to ensure treatment aligns with patient desires. However, in cases where patients are unable to communicate—due to severe illness or incapacitation—it's crucial to have someone designated to make decisions on their behalf. Dr. Winger urges viewers to consider who should be appointed for this role, such as a spouse, sibling, or friend, highlighting that healthcare providers may not be aware of a friend's significance unless formally designated in an advance directive.