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Neil Winger, a primary care doctor affiliated with the UCLA Health Ethics Center, discusses advance directives—legal documents that express a person's healthcare preferences when they cannot make decisions themselves. He highlights that ideally, doctors and patients engage in shared decision-making to align treatments with patients' wishes. However, in unforeseen situations where patients cannot communicate, such as severe illness or unconsciousness, it's crucial to designate someone (like a spouse, sibling, or friend) to guide medical decisions. Advance directives ensure that medical teams understand who to consult, facilitating care that reflects the patient's values and desires.