More verbosely,

Is the tool (PowerPoint) the problem; or is the process (one hammer wielder striking all the nails on his floor - and all the nails on the floors below) the problem ?

(from TXH)
The last point, how we make decisions, is the most obvious. Before PowerPoint, staffs prepared succinct two- or three-page summaries of key issues. The decision-maker would read a paper, have time to think it over and then convene a meeting with either the full staff or just the experts involved to discuss the key points of the paper. Of course, the staff involved in the discussion would also have read the paper and had time to prepare to discuss the issues. In contrast, today, a decision-maker sits through a 20-minute PowerPoint presentation followed by five minutes of discussion and then is expected to make a decision. Compounding the problem, often his staff will have received only a five-minute briefing from the action officer on the way to the presentation and thus will not be well-prepared to discuss the issues. This entire process clearly has a toxic effect on staff work and decision-making.
....
PowerPoint has clearly decreased the quality of the information provided to the decision-maker, but the damage doesn’t end there. It has also changed the culture of decision-making. In my experience, pre-PowerPoint staffs prepared two to four decision papers a day because that’s as many as most bosses would accept. These would be prepared and sent home with the decision-maker and each staff member that would participate in the subsequent discussion. Because of the tempo, most decision-makers did not take on more than three or four a day simply because of the requirement to read, absorb, think about and then be prepared to discuss the issue the following day. As an added benefit for most important decisions, they “slept on it.”

PowerPoint has changed that. Key decision-makers’ days are now broken down into one-hour and even 30-minute segments that are allocated for briefs. Of particular concern, many of these briefs are decision briefs. Thus senior decision-makers are making more decisions with less preparation and less time for thought. Why we press for quick decisions when those decisions will take weeks or even months to simply work their way through the bureaucracy at the top puzzles me. One of the critical skills in decision making is making the decision cycle and method appropriate to the requirements. If a decision takes weeks or months to implement and will be in effect for years, then a more thoughtful process is clearly appropriate.

This brings me to the third major concern with PowerPoint’s impact on our decision process: Who makes the decisions? Because the PowerPoint culture allows decision-makers to schedule more briefs per day, many type-A personalities seek to do so. Most organizations don’t need more decisions made at higher levels. But to find more decisions to make, a type-A leader has to reach down to lower levels to find those decisions. The result is the wrong person is making decisions at the wrong level.
Is the last sentence the crux of the problem ?

Where (if at all) do the people who have to execute the decision fit into the process which TXH describes ?