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Neil Winger, a primary care physician affiliated with the UCLA Health Ethics Center, discusses advance directives—legal documents that specify a person's healthcare preferences in situations where they cannot make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients, but notes that in certain circumstances, such as severe illness or unconsciousness, this communication may not be possible. Therefore, it is crucial to designate a trusted individual, such as a spouse, sibling, or friend, to make decisions on your behalf. Winger underscores that without an advance directive, healthcare providers may not know whom to consult for your preferences in critical situations.