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Neil Winger, a primary care physician affiliated with the UCLA Health Ethics Center, discusses advance directives, which are legal documents that specify an individual's healthcare preferences when they can’t make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients. However, in situations where patients cannot communicate their wishes—due to severe illness or unconsciousness—having someone designated to make decisions on their behalf is crucial. Patients should consider who they would trust to make these choices, such as a spouse, sibling, or friend, and ensure that their healthcare providers are aware of this designated individual.