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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 healthcare preferences when they cannot make decisions themselves. He emphasizes the importance of shared decision-making between doctors and patients to ensure treatments align with the patients' wishes. However, in situations where a patient cannot communicate—due to illness or unconsciousness—it's crucial to designate someone, such as a spouse, sibling, or friend, to make decisions on their behalf. This is essential to provide clarity on whom doctors should consult, especially if the designated person is not immediately recognizable to healthcare providers.