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In this video, Dr. Neil Winger discusses advance directives, which are legal documents allowing individuals to specify their medical decisions if they become unable to communicate. He highlights the importance of shared decision-making between doctors and patients but acknowledges that there may be situations where patients can't express their wishes, such as severe illness or unconsciousness. In such cases, it's crucial to designate a trusted person—be it a spouse, sibling, or friend—who can guide doctors in making healthcare choices aligned with the patient’s preferences. The video emphasizes the need for advance directives to ensure that one's medical wishes are honored even when they cannot advocate for themselves.