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In this tutorial, Dr. Neil Winger, a primary care physician affiliated with the UCLA Health Ethics Center, discusses advance directives, which are legal documents that specify a person's wishes regarding medical treatment when they are unable to make decisions for themselves. He highlights the importance of shared decision-making between doctors and patients but acknowledges that there may be situations where a patient is too ill to communicate. In such cases, it's crucial to designate someone—such as a spouse, sibling, or friend—who can make decisions on their behalf. Without clear communication, doctors may not know whom to consult, underscoring the need for advance directives.