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In this tutorial, Dr. Neil Winger discusses advance directives, which are legal documents that specify a person's preferences for medical treatment in situations where they cannot make decisions for themselves. He emphasizes the importance of advance directives in ensuring that medical care aligns with an individual's wishes, particularly when they are unable to communicate—due to illness or other emergencies. Dr. Winger highlights the role of designated decision-makers, such as a spouse, sibling, or friend, and notes the potential confusion for healthcare providers if these preferences are not formally documented. Overall, he stresses the significance of having advance directives in place.