This Is Us Writer Explains Rebecca’s Surprising Alzheimer's Care Decision

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This Is Us producer and writer Laura Kenar explains why Rebecca (Mandy Moore) chose Kate (Chrissy Metz) to be the primary decision-maker regarding her well-being moving forward. NBC's family drama is down to its final stretch, with the Pearsons having to fully deal with the realities of their matriarch's Alzheimer's diagnosis. Rebecca, for her part, decides to be proactive when approaching her disease, already making plans as to how she wants the last few years of her life to pan out.

This Is Us' storytelling focuses on the Pearson family as they go through the ups and downs of life over the years. The show jumps through multiple timelines, allowing for a lot of flashbacks, but its primary narrative takes place in the present time, with the Big Three now adults with their respective families. After spending its earlier seasons tackling how the life and death of the clan's dad, Jack (Milo Ventimiglia) shaped their current lives, the show's focus is now on their mom, Rebecca, as she deals with Alzheimer's. The show's finale is expected to be about her death, with the remaining episodes leading up to it setting up her ultimate fate.

Related: This Is Us Flashforward Secretly Links Kate & Toby's Divorce To Jack's Death

Speaking with Entertainment Weekly on the heels of This Is Us season 6 episode 7, titled «Taboo,» Kenar opens up about Rebecca's decision to pick Kate to be her main health proxy in case Miguel (Jon Huertas) is not around. This was a shock to many long-time fans of the series, considering that Rebecca and Kate have had a tumultuous relationship. But, the show boss reveals that there are certain things that factored into the Pearson matriarch's choice, including the volatile dynamic between Kevin (Justin