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A medical power of attorney, also known as an advanced directive or healthcare proxy, allows an individual (the principal) to appoint someone else to make healthcare decisions on their behalf. The principal retains control over their healthcare decisions until a physician determines they lack the capacity to make those decisions, such as in cases of coma, vegetative state, or mental impairment. To be valid, the document must comply with state laws, typically requiring signatures witnessed by either witnesses or a notary public. The principal must be at least 18 years old and of sound mind, meaning they must understand the nature and consequences of their decisions.