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A medical power of attorney (also known as an advanced directive or healthcare proxy) allows an individual to appoint someone to make healthcare decisions on their behalf when they are unable to do so. The principal retains control over their healthcare until a physician determines they lack the capacity to make decisions. This may arise in situations like coma, vegetative state, or mental impairment. To be valid, the medical power of attorney must comply with state laws, usually requiring signatures witnessed or notarized. Additionally, the principal must be at least 18 years old and of sound mind when executing the document.