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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 over healthcare decisions until a physician determines they are incapacitated, such as in a coma, vegetative state, or due to mental impairment. For validity, the document must be signed according to state laws, which may require witnesses or a notary public. Additionally, the principal must be at least 18 years old and of sound mind, meaning they must understand the nature and consequences of their decisions at the time of signing.