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Neil Winger, a primary care physician affiliated with the UCLA Health Ethics Center, discusses advance directives, which are legal documents that allow individuals to specify their treatment preferences in situations where they cannot make decisions for themselves. He highlights the importance of shared decision-making between patients and doctors but notes that there are circumstances, such as severe illness or unconsciousness, where this communication breaks down. In these cases, having an advance directive helps determine who should guide medical decisions on the patient's behalf, whether it's a spouse, sibling, or friend. This ensures that the patient's wishes are respected even when they cannot express them.