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Neil Winger, a primary care doctor associated with the UCLA Health Ethics Center, discusses advance directives, which are legal documents that express individuals' medical preferences when they cannot make decisions for themselves. This situation may arise if patients are too ill or unable to communicate following an emergency. Winger emphasizes the importance of shared decision-making between doctors and patients, but he highlights the necessity of having designated individuals, such as a spouse, sibling, or friend, to make these decisions on behalf of the patient. He points out that without an advance directive, doctors may not know whom to turn to for guidance in these critical moments.