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Neil Winger, a primary care doctor affiliated with the UCLA Health Ethics Center, discusses advance directives, which are legal documents that specify a person's healthcare preferences in situations where they cannot make decisions for themselves. He emphasizes the importance of effective communication between doctors and patients for shared decision-making. However, in emergencies when patients are unable to express their wishes—due to severe illness or unconsciousness—these directives guide healthcare providers. Winger notes the significance of designating an advocate, such as a spouse, sibling, or friend, to assist in decision-making, highlighting the potential challenges if the healthcare team is unaware of who to consult in such circumstances.