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Dr. Neil Winger, a primary care physician at UCLA Health Ethics Center, discusses advance directives, which are legal documents allowing individuals to specify their treatment preferences if they're unable to make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients, but recognizes that there may be situations where patients cannot communicate their wishes, such as severe illness or unconsciousness. In these cases, advance directives designate a decision-maker, often a spouse, sibling, or trusted friend, ensuring that healthcare professionals know who to consult regarding treatment preferences. This highlights the necessity of having advance directives in place.