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Neil Winger, a primary care doctor associated with the UCLA Health Ethics Center, discusses advance directives—legal documents that express a person's wishes regarding medical treatment if they are unable to make decisions. He emphasizes the importance of shared decision-making between doctors and patients but acknowledges situations where patients cannot communicate, such as severe illness or unconsciousness. In these cases, it’s vital to designate someone—like a spouse, sibling, or friend—who can convey the patient’s preferences to healthcare providers. Without an advance directive, healthcare professionals may struggle to understand whom to consult for those decisions.