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A medical power of attorney (MPA), also known as an advanced directive or healthcare proxy, allows a person to appoint someone to make healthcare decisions on their behalf when they are unable to do so. The principal retains control over their healthcare decisions until a physician determines they lack the capacity to make them. An MPA is applicable in situations of incapacitation, such as a coma, vegetative state, or mental impairments. To be valid, the document must comply with state laws, often requiring witnesses or notarization. The principal must be at least 18 years old and of sound mind, meaning they are capable of understanding and making informed decisions.