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In this video, Dr. Neil Winger discusses advance directives, which are legal documents allowing individuals to specify their medical care preferences if 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 may be incapacitated and unable to communicate, such as severe illness or accidents. The video underscores the necessity of designating a trusted individual, such as a spouse, sibling, or friend, who can make medical decisions on one’s behalf in such circumstances. Dr. Winger highlights that these advance directives ensure that a patient's wishes are honored when they can’t speak for themselves.