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Neil Winger, a primary care physician affiliated with the UCLA Health Ethics Center, discusses advance directives—legal documents that express a person's medical treatment preferences when they are unable to make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients in optimal circumstances. However, there may be instances where patients cannot communicate due to severe illness or emergencies, raising the question of who should guide medical decisions on their behalf. Patients should ideally designate a trusted individual, such as a spouse, sibling, or friend, to ensure their wishes are honored, as doctors may not automatically know whom to consult in these situations.
