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In this video, Dr. Neil Winger discusses advance directives, which are legal documents that express an individual's preferences for medical treatment when they are unable to make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients but acknowledges that there may be circumstances where patients cannot communicate their wishes, such as severe illness or unconsciousness. In these cases, advance directives outline who should be consulted for decision-making—this could be a spouse, sibling, or friend. Dr. Winger highlights the necessity of having clear directives to ensure that healthcare providers know whom to turn to in such situations.