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Neil Winger, a primary care doctor affiliated with the UCLA Health Ethics Center, discusses advance directives, which are legal documents enabling individuals to specify their healthcare preferences when they cannot make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients under normal circumstances. However, unforeseen situations may prevent patients from communicating their wishes, such as severe illness or incapacitation. In such cases, it is crucial to designate a trusted person—like a spouse, sibling, or friend—who can make decisions on their behalf. Winger highlights that without a clear directive, healthcare providers may not know whom to consult for guidance.