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Neil Winger, a primary care physician and member of the UCLA Health Ethics Center, discusses advance directives, which are legal documents allowing individuals to specify their treatment preferences if they cannot make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients but acknowledges situations where patients may be unable to communicate their wishes, such as during severe illness or unconsciousness. In these cases, it's crucial to designate a trusted person, like a spouse, sibling, or friend, to assist in decision-making. Advance directives help ensure that medical professionals know whom to consult regarding a patient's preferences.