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Neil Winger, a primary care physician affiliated with the UCLA Health Ethics Center, discusses advance directives, which are legal documents allowing individuals to express their healthcare preferences in the event they cannot make decisions for themselves. He highlights the importance of shared decision-making between doctors and patients. However, in situations where patients are unable to communicate—due to severe illness or unresponsive conditions—advance directives provide clarity on whom doctors should consult for making decisions on their behalf. This could be a spouse, sibling, or friend, but it's crucial to document these choices to ensure healthcare providers recognize the designated decision-maker.