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Neil Winger, a primary care physician affiliated with the UCLA Health Ethics Center, discusses advance directives, which are legal documents that specify medical decisions for individuals unable to communicate their wishes. In ideal situations, doctors and patients engage in shared decision-making. However, there are instances where patients cannot express their preferences, such as during severe illness or unconsciousness. In these cases, it's crucial to have someone designated to make decisions on the patient's behalf, like a spouse, sibling, or friend. Advance directives ensure that healthcare providers know who to consult when making decisions for a patient who cannot advocate for themselves.