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Dr. Neil Winger, a primary care physician affiliated with the UCLA Health Ethics Center, discusses advance directives, which are legal documents that specify an individual's healthcare preferences in situations where they cannot make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients to ensure treatments align with the patient's wishes. However, in cases where communication isn't possible—such as severe illness or unconsciousness—it's crucial to designate someone, like a spouse, sibling, or friend, to make decisions on the patient's behalf. The advance directive serves to inform healthcare providers whom they should consult for guidance in these scenarios.