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A medical power of attorney (MPOA), also known as an advanced directive or healthcare proxy, enables an individual to designate someone else to make healthcare decisions for them. The principal maintains control over their healthcare choices until a physician determines they lack the capacity to make those decisions. Situations necessitating an MPOA may include incapacitation due to a coma, vegetative state, or mental impairment. To be valid, the MPOA must comply with state laws, generally requiring signatures to be witnessed or notarized. The principal must be at least 18 years old and of sound mind, meaning they are capable of understanding the decision-making process.