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Neil Winger, a primary care physician affiliated with the UCLA Health Ethics Center, discusses advance directives, which are legal documents allowing individuals to specify their treatment preferences in situations where they cannot make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients but acknowledges that there are circumstances, such as severe illness or loss of consciousness, that may prevent communication. In such cases, it is crucial to appoint someone—like a spouse, sibling, or friend—whom doctors can consult to help make decisions on the patient's behalf. This highlights the need for advance directives to ensure that a patient's wishes are followed.