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Neil Winger, a primary care doctor affiliated with the UCLA Health Ethics Center, discusses advance directives, which are legal documents allowing individuals to convey their healthcare wishes if they become unable to make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients; however, there may be scenarios where patients are too ill or incapacitated to communicate. In such cases, it's crucial to designate someone—such as a spouse, sibling, or friend—to make healthcare decisions on their behalf. Winger highlights that without an advance directive, healthcare providers may lack guidance on the patient's preferences.