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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 outline a person’s wishes regarding medical treatment if they are unable to make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients to ensure treatment aligns with patient preferences. However, in situations where patients are too ill or incapacitated to communicate, it becomes crucial to designate a person—such as a spouse, sibling, or trusted friend—who can make healthcare decisions on their behalf. Without a clear directive, doctors may struggle to identify the appropriate individual for decision-making.