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