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Neil Winger, a primary care physician affiliated with the UCLA Health Ethics Center, discusses advance directives, which are legal documents that allow individuals to specify their medical treatment preferences in situations where they cannot make decisions for themselves. This can occur if a patient is too ill or unresponsive to communicate with doctors. Advance directives ensure that medical decisions align with a patient's wishes by designating someone, like a spouse, sibling, or friend, to act on their behalf. It emphasizes the importance of clear communication about who should make decisions in such circumstances, ensuring that healthcare providers know whom to consult.