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Neil Winger, a primary care physician affiliated with the UCLA Health Ethics Center, discusses advance directives, which are legal documents that specify a person's wishes regarding medical treatments if they are unable to make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients. However, in situations where patients are incapacitated and cannot communicate, it's crucial to have someone designated to make decisions on their behalf. This could be a spouse, sibling, or friend. The challenge arises if the medical team is unaware of whom to consult if a friend is designated, underscoring the need for clear advance directives.