The Wicos Problem

A quick observation from When Breath Becomes Air, Paul Kalanithi.  

During lucid moments, I was acutely aware that with this many voices, cacophony results. In medicine, this is known as the WICOS problem: Wh Is the Captain Of the Ship?   p189

The WICOS Problem. When the doctors get together to decide what to do for you and decide who is in charge.