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Dr. Neil Winger, a primary care physician at UCLA Health Ethics Center, discusses advance directives, which are legal documents allowing individuals to express their medical preferences in situations where they cannot make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients. However, in emergencies where patients are incapacitated and unable to communicate, advance directives guide healthcare providers by specifying who should make decisions on behalf of the patient. It's crucial to designate a trusted individual, such as a spouse, sibling, or friend, to ensure that medical treatments align with the patient's wishes when they are unable to voice them.