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Neil Winger, a primary care doctor at UCLA Health Ethics Center, discusses advance directives, which are legal documents allowing individuals to specify medical decisions in case they cannot communicate them. This situation may arise when patients are unable to engage in shared decision-making with doctors due to severe illness or other emergencies. Advance directives outline who should make medical decisions on the patient's behalf, such as a spouse, sibling, or friend. It emphasizes the need to designate someone the healthcare team can consult when the patient is incapacitated, ensuring medical care aligns with their wishes.