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Neil Winger, a primary care physician affiliated with the UCLA Health Ethics Center, discusses advance directives, which are legal documents that specify a person's medical preferences when they are unable to make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients to ensure treatment aligns with patient wishes. However, in situations where patients are too sick or unconscious, guidance is needed. Advance directives help clarify whom patients want physicians to consult for decisions—be it a spouse, sibling, or friend—ensuring that their wishes are respected even when they cannot communicate them.