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A medical power of attorney, also known as an advanced directive or healthcare proxy, allows an individual (the principal) to designate someone else to make healthcare decisions on their behalf. The principal retains control until a physician determines they lack the capacity to make decisions, such as in cases of coma, vegetative state, or mental impairment. To be valid, the document must comply with state laws, which typically require it to be signed in the presence of witnesses or a notary public. Additionally, the principal must be at least 18 years old and of sound mind, meaning they are capable of understanding the implications of their decisions.