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In this video, Dr. Neil Winger discusses advance directives, which are legal documents allowing individuals to express their healthcare preferences when they are unable to make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients but acknowledges that there are situations where patients can't communicate, such as severe illness or unconsciousness. In such cases, it's crucial to appoint someone—like a spouse, sibling, or trusted friend—whom doctors can consult for decision-making. Advance directives ensure that one's wishes are honored even when they are unable to convey them directly.