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Neil Winger, a primary care physician associated with the UCLA Health Ethics Center, discusses advance directives, which are legal documents that specify a person’s treatment preferences when they are unable to make decisions for themselves. These situations may arise when a patient is too ill or unresponsive to communicate with their doctors. Winger emphasizes the importance of having a designated individual, such as a spouse, sibling, or friend, to make health care decisions on the patient's behalf. He highlights that without an advance directive, doctors may struggle to identify who can help make these critical decisions, underscoring the necessity of having such a document in place.