Season 3 Episode 59: How to Choose a Medical Power of Attorney: A Practical Guide
Jan 13, 2026
When serious illness or injury strikes and you can't speak for yourself, who will speak for you?
That's the question at the heart of naming a Medical Power of Attorney. In this post, we'll explain what this document is, why it's essential, and how to choose the right person to take on this critical role.
What Is a Medical Power of Attorney?
A Medical Power of Attorney (MPOA) is a legal document that allows you to name someone to make healthcare decisions for you if you become too sick or hurt to speak for yourself. This person is often called a "healthcare agent," "proxy," or "surrogate."
In Texas and other states, this person steps into your shoes to speak with doctors and ensure your values and wishes are honored during a medical crisis.
Why It Matters
Many people assume their spouse or closest relative will automatically make those decisions. But it doesn't always work that way. That's why it's important to choose your agent ahead of time and have intentional conversations before a crisis hits.
How to Choose the Right Person
The right agent isn't always the person closest to you. Instead, ask yourself:
- Can they stay calm under pressure?
- Will they respect and follow my wishes, even if they disagree?
- Can they ask tough questions and speak up to medical staff?
- Are they easy to reach in an emergency?
It's also important to name a backup agent-called an "alternate" in case your first choice is unavailable.
How to Start the Conversation
It may feel awkward at first, but these conversations don't have to be heavy. Try saying:
- "I'm doing this as a gift so no one has to guess."
- "You're someone I trust, and I'd like to talk about this with you."
- "You can say no and I'll completely understand."
The goal is to give them space to ask questions and opt out if it's not the right fit.
Make It Official - In the Next Episode
You're not filling out the form just yet! In our next episode, we'll walk through how to officially complete your Medical Power of Attorney.
For now, your focus is on choosing the right person and having an open, honest conversation. Let them know what matters to you and ask if they feel comfortable stepping into the role.
Need help starting that conversation?
Both CaringInfo and The Conversation Project offer helpful language, guides, and examples to make the discussion easier.
You'll also want to verbally share your Living Will choices you completed from the last episode so your agent understands your medical preferences.
Final Thoughts
Choosing a Medical Power of Attorney is a powerful step in planning for life's "what ifs." It ensures your values are protected and your voice is heard, even when you can't speak.
This simple document and the conversation that comes with it can bring peace of mind to you and those who care about you.
Listen to the Full Episode
For more insights, listen to the full episode of the Thoughtful Planning podcast on your favorite podcast platform or watch on YouTube.
Action Steps
- Choose your medical agent and an alternate
- Talk to them with care and openness
- Write down their name and address
Every chapter you write today shapes your legacy tomorrow. Thank you for joining us at Thoughtful Planning.
