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Neil Winger, a primary care doctor affiliated with the UCLA Health Ethics Center, discusses advance directives, which are legal documents indicating a person's wishes regarding medical care if they cannot make decisions themselves. He emphasizes the importance of shared decision-making between doctors and patients to ensure treatments align with patient preferences. In situations where patients are unable to communicate—due to illness or emergencies—advance directives designate a trusted individual, like a spouse, sibling, or friend, to assist in making medical decisions. He highlights the necessity of clearly specifying this person to guide healthcare providers effectively.