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A medical power of attorney (POA), also known as an advanced directive or healthcare proxy, allows a person to appoint someone to make healthcare decisions on their behalf. The principal retains control over their decisions until their physician determines they lack the capacity to do so, which can occur in cases of incapacitation such as a coma or mental impairment. To be valid, the POA must be signed according to state laws, typically requiring witnesses or a notary public. Additionally, the principal must be at least 18 years old and of sound mind, meaning they can understand the implications of their choices.