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In this video, Dr. Neil Winger discusses advance directives, which are legal documents allowing individuals to specify their healthcare preferences in situations where they cannot make decisions for themselves. He emphasizes the importance of having clear communication between doctors and patients, ideally through shared decision-making. However, in cases where patients are unable to communicate—due to severe illness or incapacity—an advance directive serves to identify a designated decision-maker, such as a spouse, sibling, or friend. The video highlights the need for these documents to ensure that healthcare decisions align with what patients would want in critical situations.