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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 specify their treatment preferences when they cannot make decisions for themselves. This situation may arise if a patient is too ill or incapacitated to communicate. In such cases, it's crucial to designate someone—such as a spouse, sibling, or trusted friend—who can make healthcare decisions on their behalf. The video emphasizes the importance of advance directives in ensuring that medical care aligns with the patient's wishes, especially when effective communication with physicians is not possible.