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Neil Winger, a primary care physician and member of the UCLA Health Ethics Center, discusses advance directives. An advance directive is a legal document that indicates a person's preferences regarding medical treatment in situations where they cannot make decisions for themselves. Such circumstances may arise if a patient is too ill or unresponsive. It emphasizes the importance of shared decision-making between doctors and patients to reflect the patients' wishes in their treatment. Winger highlights the necessity of designating a trusted individual, such as a spouse or close friend, to make decisions on their behalf, as doctors may not know whom to consult if no directive is in place.