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Neil Winger, a primary care doctor at UCLA Health Ethics Center, discusses advance directives, which are legal documents indicating patients' preferences for medical decisions when they cannot decide for themselves. In optimal situations, doctors and patients engage in shared decision-making. However, there are instances where patients cannot communicate their wishes, due to severe illness or unconsciousness. Advance directives help clarify who should make decisions on behalf of the patient, such as a spouse, sibling, or friend. Notably, doctors may not know who to approach in these circumstances without a documented directive, making these documents essential for effective and personalized medical care.