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In this video, Dr. Neil Winger 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 emphasizes the importance of shared decision-making between doctors and patients to ensure that treatment aligns with patient wishes. However, unforeseen circumstances may arise where patients are unable to communicate, prompting the need for advance directives to designate an individual—such as a spouse, sibling, or friend—who can make healthcare decisions on their behalf. The video highlights the necessity of clearly identifying these decision-makers to guide medical professionals effectively.