The document discusses the evolution of the Model-View-Controller (MVC) design pattern into the Model-View-ViewModel (MVVM) pattern in iOS programming, emphasizing separation of concerns and improved manageability of code. It highlights how MVVM enhances testability and allows developers to handle the complexities of a view controller more effectively. Additionally, it compares MVVM in iOS to the Model-View-Presenter (MVP) pattern used in Android development, focusing on data binding and the responsibilities of each component.