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A medical power of attorney (MPOA), also known as an advanced directive or healthcare proxy, allows an individual to appoint someone else to make healthcare decisions on their behalf. The principal maintains control over their healthcare decisions until their physician determines they lack the capacity to make those decisions. Situations necessitating an MPOA may include incapacitation due to coma, vegetative state, or mental impairment. To be valid, the MPOA must be signed according to state laws, typically requiring witnesses or a notary public. The principal must be at least 18 years old and of sound mind to execute a medical power of attorney.