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Neil Winger, a primary care doctor and member of the UCLA Health Ethics Center, discusses advance directives, which are legal documents allowing individuals to express their treatment preferences in situations where they cannot make decisions for themselves. This can occur if a patient is too ill or unconscious. Ideally, doctors and patients engage in shared decision-making to ensure treatment aligns with the patient's wishes. However, in unforeseen circumstances, having an appointed person to make decisions is crucial. Patients may designate a spouse, sibling, or friend, but it's important to ensure that healthcare providers are aware of this designation to effectively communicate and honor the patient's preferences.