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In this video, Dr. Neil Winger discusses advance directives, legal documents that outline a person's preferences for medical treatment when they are unable to make decisions themselves. He emphasizes the importance of shared decision-making between doctors and patients but acknowledges that unforeseen circumstances can prevent communication, such as severe illness or unconsciousness. In such cases, advance directives specify who should make medical decisions on the patient's behalf—be it a spouse, sibling, or friend. He highlights the necessity of these documents to ensure that medical care aligns with the patient's wishes, even when they cannot express them directly.