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Dr. Neil Winger discusses advance directives, which are legal documents enabling individuals to specify their medical preferences in situations where they cannot make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients to ensure treatment aligns with patients' wishes. In cases where a patient is incapacitated and unable to communicate, it becomes crucial to have a designated person—such as a spouse, sibling, or trusted friend—who can make decisions on their behalf. Advance directives help inform healthcare providers about whom to consult in these situations, ensuring that patients' desires are respected even when they cannot express them.