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In this video, Dr. Neil Winger discusses advance directives, which are legal documents that express an individual's healthcare preferences when they are unable to make decisions for themselves. He explains the importance of shared decision-making between doctors and patients in determining treatment options. However, in situations where patients cannot communicate—due to illness or emergencies—advance directives clarify who should make decisions on their behalf. This designated person could be a spouse, sibling, or friend, but it is crucial for medical professionals to be aware of this choice. The video emphasizes the need for advance directives to ensure that medical decisions align with patients' wishes in critical situations.