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In this tutorial, Dr. Neil Winger discusses advance directives, which are legal documents that specify your healthcare preferences if you become unable to make decisions for yourself. He emphasizes the importance of shared decision-making between doctors and patients but acknowledges scenarios where patients cannot communicate, such as illness or emergencies. In such cases, it is crucial to designate a trusted individual—like a spouse, sibling, or friend—who can guide medical decisions on your behalf. He highlights that without clear directives, healthcare providers may not know whom to consult, underscoring the necessity for advance directives.