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Neil Winger, a primary care doctor affiliated with the UCLA Health Ethics Center, discusses advance directives, which are legal documents that specify a person's treatment preferences when they cannot make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients. However, in scenarios where patients are incapacitated or unable to communicate, advance directives guide healthcare providers on who should be consulted for decision-making. Selecting a trusted individual, such as a spouse, sibling, or friend, is crucial, yet it's important to ensure that doctors are aware of and can reach these appointed decision-makers.