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In this video, Dr. Neil Winger discusses advance directives, legal documents that allow individuals to indicate their preferences for medical treatment when they can’t make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients, but acknowledges that there are circumstances, such as illness or emergencies, when patients may be unable to communicate. In such cases, advance directives can specify who should make decisions on their behalf, whether it’s a spouse, sibling, or friend. However, it's crucial for patients to ensure that their chosen decision-makers are known to their doctors to facilitate effective communication regarding their wishes.