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Neil Winger, a primary care doctor at UCLA Health Ethics Center, discusses advance directives, which are legal documents allowing individuals to express their treatment preferences if they become unable to make decisions for themselves. These situations may arise when patients are too ill or incapacitated to communicate. Winger emphasizes the importance of shared decision-making between doctors and patients to ensure treatments align with patient wishes. In cases where patients cannot communicate, it’s crucial to designate someone—such as a spouse, sibling, or trusted friend—who can make decisions on their behalf. Advance directives ensure that medical teams know whom to consult for guidance in such circumstances.