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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 medical treatment preferences in situations where they cannot make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients but acknowledges that there are circumstances, such as severe illness or incapacitation, when patients cannot communicate. In these cases, advance directives clarify who should be consulted for healthcare decisions, whether it be a spouse, sibling, or friend. The need for such documents arises from the necessity for healthcare providers to know whom to turn to for guidance in a patient's absence.