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Neil Winger, a primary care physician affiliated with the UCLA Health Ethics Center, discusses advance directives, which are legal documents enabling individuals to express their treatment preferences if they become unable to make decisions for themselves. He highlights the importance of shared decision-making between doctors and patients but acknowledges scenarios where patients cannot communicate, such as severe illness or unconsciousness. In these cases, advance directives specify whom doctors should consult to make healthcare decisions on the patient's behalf, whether a family member or a trusted friend, ensuring that the patient's wishes are respected even in challenging circumstances.