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Neil Winger, a primary care doctor working with the UCLA Health Ethics Center, discusses advance directives—legal documents that specify a person's treatment preferences if they are unable to make decisions. He emphasizes the importance of shared decision-making between doctors and patients for appropriate treatment. However, in situations where patients cannot communicate—due to illness or unconsciousness—it becomes crucial to designate someone, such as a spouse or friend, to make decisions on their behalf. This ensures that the medical team knows whom to consult regarding the patient's wishes, highlighting the necessity of advance directives.