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In this tutorial, Neil Winger, a primary care doctor affiliated with the UCLA Health Ethics Center, discusses advance directives. An advance directive is a legal document that specifies a person's preferences for medical treatment if they become unable to make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients to ensure that treatment aligns with patient wishes. However, in certain situations where a patient cannot communicate—due to illness or other emergencies—it is critical to have a designated individual, such as a spouse, sibling, or trusted friend, to make decisions on their behalf. Winger highlights that establishing clear directives helps guide doctors in these scenarios.