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Dr. Neil Winger, a primary care physician associated with the UCLA Health Ethics Center, discusses advance directives, which are legal documents allowing individuals to specify their treatment preferences when they are unable to make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients but acknowledges that there may be circumstances—such as severe illness or unconsciousness—when patients cannot communicate their wishes. In such cases, it's crucial to designate a trusted person, like a spouse or sibling, to guide healthcare decisions. However, the challenge lies in ensuring that medical professionals know whom to consult when the need arises.