It's not a long document. Its just six pages in 30 minutes. There can be written counterproposal sometimes.
The point of the meeting is not to create new ideas or solve problems. Either the presenter has the solutions or ideas written down or not. Every meeting has a decision maker. The purpose of the meeting is there to make a decision at the end. If there are still open questions, then the decision-maker assigns one or more people to research, and the needed follow-up. At the end of the next meeting,
the decision is made.