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Neil Winger, a primary care physician affiliated with the UCLA Health Ethics Center, discusses advance directives, which are legal documents allowing individuals to specify their medical treatment preferences when they cannot make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients to ensure treatments align with patients' wishes. However, situations may arise where patients are unable to communicate their choices due to illness or emergencies. In such cases, having an advance directive helps clarify who doctors should consult for decision-making, be it a spouse, sibling, or friend, ensuring that the patient's preferences are respected even when they are not able to voice them.