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Neil Winger, a primary care doctor affiliated with the UCLA Health Ethics Center, discusses advance directives, which are legal documents that outline an individual's preferences for medical treatment when they cannot make decisions for themselves. These situations can occur when patients are too ill or incapacitated. Winger emphasizes the importance of shared decision-making between doctors and patients to ensure treatments align with patients' wishes. He highlights the necessity of appointing a decision-maker, such as a spouse, sibling, or friend, in advance. However, this person needs to be clearly identified to ensure that doctors know whom to approach for guidance in critical times.