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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 allow individuals to specify their medical preferences in situations where they are unable to make decisions for themselves. He highlights the importance of shared decision-making between doctors and patients. However, there may be circumstances, such as severe illness or unconsciousness, that prevent communication. In such cases, it’s crucial to designate a decision-maker, such as a spouse, sibling, or friend, to guide healthcare providers. Advance directives ensure that medical decisions align with the patient’s wishes even when they cannot express them.