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Neil Winger, a primary care doctor affiliated with UCLA's health ethics center, discusses advance directives, which are legal documents that allow individuals to specify their medical treatment preferences when they are unable to make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients but acknowledges situations where patients cannot communicate their wishes—due to illness or unconsciousness. In these cases, it is crucial to designate a trusted person, such as a spouse, sibling, or friend, to guide medical decisions. However, it's essential that these chosen individuals are known to the healthcare team to ensure they can effectively advocate for the patient's preferences.