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Neil Winger, a primary care doctor associated with the UCLA Health Ethics Center, discusses advance directives, legal documents that express a person's treatment preferences when they can’t make their own medical decisions. He emphasizes the importance of shared decision-making between doctors and patients to align treatments with patient desires. However, in situations where patients cannot communicate—due to severe illness or unconsciousness—it's crucial to designate someone (like a spouse, sibling, or friend) who can make decisions on their behalf. He highlights that without clear directives, healthcare providers may not know whom to consult for guidance.