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In this video, Dr. Neil Winger discusses advance directives, which are legal documents allowing individuals to specify their healthcare wishes if they are unable to make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients in optimal circumstances. However, in scenarios where patients can't communicate—due to severe illness or unconsciousness—it's crucial to designate a decision-maker. This person could be a spouse, sibling, or friend, but it's important that healthcare providers are aware of this choice. The video underscores the necessity of advance directives to ensure that medical decisions align with a patient’s preferences during unexpected situations.