[HN Gopher] McKinsey never told the FDA it was working for both ...
       ___________________________________________________________________
        
       McKinsey never told the FDA it was working for both the FDA and
       opioid makers
        
       Author : danso
       Score  : 358 points
       Date   : 2021-10-04 13:38 UTC (9 hours ago)
        
 (HTM) web link (www.propublica.org)
 (TXT) w3m dump (www.propublica.org)
        
       | shkkmo wrote:
       | The people jumping on here to say "of course McKinsey didn't need
       | to disclose, it should have been obvious because consultants
       | always have these conflicts of interest and don't disclose them."
       | need to take a while to reevaluate their ethical guidelines.
       | 
       | Failing to disclose conflicts of interest (and the details of the
       | exact steps yaken to mitigate those conflicts) is unethical. In
       | this case, the contract requiring disclosure takes this beyond
       | unethical and it becomes a breach of contract that indicates
       | possible fraudulent or deceptive intent.
        
         | pempem wrote:
         | These are details that ProPublica was unable to get. That
         | doesn't mean they weren't communicated, as spywaregorilla (sp?)
         | has indicated above.
         | 
         | Every law firm, accounting firm, consulting firm once it hits a
         | certain size has clients which conflict, but the same employees
         | - the same _teams_ of employees - are barred from serving a
         | conflict of interest. It is assured that: 1. the FDA asked 2.
         | the FDA knew 3. the FDA agreed
         | 
         | Its also probable that the person from the FDA working with the
         | person from McKinsey had either already worked with them or
         | been referred to them by a colleague that had worked with them.
        
       | htrp wrote:
       | It's technically not a conflict of interest, as long as the
       | revenue streams roll through different offices or partners. /s
       | 
       | Or as McKinsey puts it
       | 
       | > "across more than a decade of service to the FDA, we have been
       | fully transparent that we serve pharmaceutical and medical device
       | companies. McKinsey's work with the FDA helped improve the
       | agency's effectiveness through organizational, resourcing,
       | business process, operational, digital, and technology
       | improvements. To achieve its mission, the government regularly
       | seeks support from additional experts who understand both the
       | government's mission and the industries' practices. We take
       | seriously our commitment to avoid conflicts and to serve the best
       | interests of the FDA."
       | 
       | In practice, just another example of questionable behaviour from
       | McKinsey
        
         | shkkmo wrote:
         | > "the Contractor agrees it shall make an immediate and full
         | disclosure, in writing, to the Contracting Officer of any
         | potential or actual organizational conflict of interest or the
         | existence of any facts that may cause a reasonably prudent
         | person to question the contractor's impartiality because of the
         | appearance or existence of bias."
         | 
         | So "it should have been obvious" or "technically it wasn't a
         | real conflict of interest" is really not a defense here.
        
           | cycomanic wrote:
           | > > "the Contractor agrees it shall make an immediate and
           | full disclosure, in writing, to the Contracting Officer of
           | any potential or actual organizational conflict of interest
           | or the existence of any facts that may cause a reasonably
           | prudent person to question the contractor's impartiality
           | because of the appearance or existence of bias."
           | 
           | > So "it should have been obvious" or "technically it wasn't
           | a real conflict of interest" is really not a defense here.
           | 
           | Exactly the key sentence that many people overlook is:
           | "actual organizational conflict of interest or the existence
           | of any facts that may cause a reasonably prudent person to
           | question the contractor's impartiality"
           | 
           | Like i said above it's not if you think you can be impartial
           | it's if others might think you might not be impartial, in
           | other words if they perceive that you could have a conflict
           | of interest.
        
         | refurb wrote:
         | This isn't a very fair take. Investment banks do the same. How
         | many companies ask Goldman to help with their IPO? How many are
         | competitors? Plenty.
         | 
         | The company has firewalls to separate different work products
         | and have _way more to lose_ by violating company
         | confidentiality than by leveraging it.
        
           | 7952 wrote:
           | If there is a potential conflict of interest you should tell
           | the client and let them decide.
        
           | tamade wrote:
           | So-called firewalls at i-banks and consulting firms are
           | routinely circumvented. These conflicts are self-policed and
           | waivers are doled out more often than not
        
           | cycomanic wrote:
           | When reviewing goverment grant proposals I am not allowed to
           | review anything coming from the same university, even if I
           | work in a completely different department/campus etc. same
           | goes for conference reviews, but somehow if there is much
           | more money involved the rules don't apply anymore?
           | 
           | Generally the rule for declaring a conflict of interest is
           | not if you think that you have a conflict of interest, but if
           | your role could be perceived as a conflict of interest. I
           | would say this is clearly the case here.
        
           | throwawaycities wrote:
           | Your example is an investment bank that was caught and fined
           | for advising clients to buy toxic assets during the 2008
           | housing bubble, while it simultaneously unloaded the same
           | assets.
           | 
           | Of course they too publicly claimed that wasn't a conflict or
           | even evidence of a conflict, but then the communications were
           | leaked showing Goldman employees knew the assets were toxic
           | and the company needed to push on them on customers to keep
           | the price up while the bank liquidated its own positions.
        
           | burkaman wrote:
           | Does Goldman sign contracts promising to disclose all
           | potential conflicts of interest when they help with an IPO?
           | Does Goldman have a history of violating those contracts and
           | paying $30 million to settle the case? Does Goldman have a
           | very recent documented history of corrupting government
           | officials and leveraging them to make money?
           | 
           | I guess it wouldn't surprise me, but all those things are
           | definitely true of McKinsey.
        
           | htrp wrote:
           | Consulting is more about long-term multi-year projects to
           | shape things like policy (for regulators) or strategy (for
           | companies). IPOs are very transactional by nature.
           | 
           | The walls you speak of are usually between the trading side
           | and the capital markets side of the firm, where there is very
           | little overlap. In this case though, I would wager people who
           | worked on the regulatory side were constantly being restaffed
           | onto the pharmaceutical side and vice versa.
        
           | briffle wrote:
           | I'm pretty sure Goldman discloses that, and the probably
           | exlains/demonstrates to the client their controls to enusre
           | the areas stay seperate. Not disclosing it is at least a bit
           | sketchy.
        
         | pacija wrote:
         | Aaah, it is much clearer now how come FDA approved COVID
         | vaccines. I guess we'll soon also find out that Biden got loads
         | of money for mandating them.
         | 
         | /ducks
        
         | cm2187 wrote:
         | Though it would be naive on the side of the FDA to assume
         | McKinsey didn't advise some pharma companies. The list of
         | Fortune 500 companies they don't advise is probably shorter
         | than the one they advise. That doesn't excuse bad disclosure if
         | it is the case, but it is hard to argue the FDA would have done
         | anything differently.
        
         | cde-v wrote:
         | Exactly, just like there was no conflict between the consulting
         | and accounting arms of Arthur Andersen.
        
       | boh wrote:
       | Sorry but I have a hard time believing the FDA didn't know
       | anything about McKinsey's ties to pharmaceuticals.
       | 
       | The scenario here is likely ProPublica coming to the FDA and
       | asking why they hired McKinsey since it has ties to Pharma. FDA
       | comes back and says McKinsey never "technically" told them. So
       | that's the story.
       | 
       | Any public agency that hires McKinsey can assume a conflict,
       | since McKinsey has clients in every industry. That's partially
       | why they hire them, to get insider views on the industry they
       | regulate/deal with.
        
         | mousetree wrote:
         | Agreed. It's very clear on McKinsey's website that they do work
         | for pharma companies.
        
         | conductr wrote:
         | > The news of McKinsey's opioid work apparently did little to
         | dampen the FDA's enthusiasm for the consultancy. In March 2019,
         | just after the news broke, the agency signed a new contract
         | with McKinsey -- extending the firm's multiyear effort to help
         | the FDA "modernize" the process by which it regulates new
         | drugs.
         | 
         | I agree too. I think the FDA hires them exactly because of
         | their clients. They want to modernize their processes, they
         | need intel from industry. How else does McKinsey get this intel
         | besides working with industry?
         | 
         | It's very much a meet in the middle process. The FDA doesn't
         | want to completely disrupt industry and they'd like to know
         | their new regulations are able to be implemented and probably
         | also care to some degree how painful they are for industry.
         | However as regulators, they could never Work side by side with
         | the industry in this effort.
         | 
         | It wasn't disclosed likely because it was part of the value and
         | McKinsey, through conversation with FDA, thought it was
         | understood. FDA hired them again, so I'm interpreting that as a
         | sign of them not actually thinking a COI occurred, or a
         | material lack of disclosure.
        
       | dillondoyle wrote:
       | Another gross thing they did: A former DEA council in charge of
       | regulating distributors then worked with them to pass a law by
       | unanimous consent neutering this single enforcement tool the DEA
       | had.
       | 
       | The former DEA attorney "gave the industry intimate knowledge of
       | the DEA's strategy."
       | 
       | Below links have gross records that reveled among other things
       | that a Rep. sponsoring the bill emailed the lobbyists asking for
       | questions he can ask the DEA...
       | 
       | If you haven't watch Gibney's "Crime of the Century" on HBO it
       | touches on this incident. The context is that the DEA used a stop
       | order against McKesson, it was one of the only tools they had.
       | McKesson did not like this. They pushed back HARD. I understand
       | concerns that legit non-opiate meds were held up for a few days,
       | but this was the only tool DEA had to send a message.
       | 
       | Of course.... "Purdue was very active in influencing the ultimate
       | definition of an 'imminent danger to the public health or
       | safety.' "
       | 
       | Humans, hell even the most obvious 'AI', could flag ginormous
       | amounts of pills going to tiny zip codes. They put profits over
       | people's lives. They violated the law, minimally in spirit, I
       | believe in conservative textual reading.
       | 
       | "the sponsors and co-sponsors have received $1.4 million in
       | campaign contributions from the industry and the alliance,
       | according to campaign finance records."
       | 
       | It's shocking how relatively tiny amounts of money open access to
       | decision makers.
       | 
       | Gibney's doc also reveals this addiction pushing behavior is
       | endemic: Purdue had a government regulator sit in a motel and
       | draft their label - which gave them the excuse to market a
       | potentially 'less addictive' drug and we all know what happened
       | from there.
       | 
       | https://archive.is/bmCiD
       | https://www.cbsnews.com/news/whistleblowers-dea-attorneys-we...
       | 
       | I have very strong feelings about what I consider crimes of big
       | pharma & opiates. To me, our for-profit system is a root cause of
       | human misery. Obviously complicated issue, but I think there has
       | to be some type of semi competitive socialized healthcare.
        
       | thecleaner wrote:
       | Is there anything useful which consulting as an industry does ? I
       | have been hard-pressed to find examples.
        
       | Grustaf wrote:
       | I'm sure they did tell the opioid makers though.
        
         | tharne wrote:
         | > I'm sure they did tell the opioid makers though.
         | 
         | That was probably one of the big selling points they
         | highlighted in their RFP PowerPoint.
        
         | DSingularity wrote:
         | It was part of their pitch. "And here is the water cooler where
         | the consultants working for the FDA are known to discuss the
         | details of the FDA investigation into the pharmaceuticals role
         | in the opioid crisis".
        
       | MattGaiser wrote:
       | Doesn't McKinsey frequently work for different clients in the
       | same industry even? I never got the impression that consulting
       | firms really limited themselves in that way.
        
         | mrep wrote:
         | Bain supposedly does not work with competitors:
         | https://en.wikipedia.org/wiki/Bain_%26_Company#Reception
        
         | zubiaur wrote:
         | They do. I would be surprised if they don't operate in
         | compartmentalized teams. I work with a company that has clients
         | in competing markets. We have "conflict houses", organizations
         | within the organization that compartmentalize clients, sets
         | firewalls and prevents information leak between employees. I
         | would be surprised if McK doesn't do anything similar.
        
           | shkkmo wrote:
           | And nothing in those practices excuses McKinsey from failing
           | to disclose such possible conflicts.
        
           | dachryn wrote:
           | Indeed, the 'cool-off' time is even part of the statement of
           | work, and negotiable. Its just part of the game. There are
           | maybe 10 companies active in a given region/content that have
           | the fame to pull off this high level of consulting (I am not
           | claiming they are the only capable ones, or even that they
           | are capable, just saying that the shortlist is rather ...
           | short)
           | 
           | Its known that they work for the competitors. You just want
           | to handle the exposure and limit the risk of your super
           | realistic super important strategy leaking 3 months before
           | you make it public.
        
         | burkaman wrote:
         | > Federal procurement rules require U.S. government agencies to
         | determine whether a contractor has any conflicts of interest.
         | If serious enough, a conflict can disqualify the contractor
         | from working on a given project. McKinsey's contracts with the
         | FDA, which ProPublica obtained after filing a FOIA lawsuit,
         | contained a standard provision obligating the firm to disclose
         | to agency officials any possible organizational conflicts. One
         | passage reads: "the Contractor agrees it shall make an
         | immediate and full disclosure, in writing, to the Contracting
         | Officer of any potential or actual organizational conflict of
         | interest or the existence of any facts that may cause a
         | reasonably prudent person to question the contractor's
         | impartiality because of the appearance or existence of bias."
         | 
         | > Over the past couple of years, for example, McKinsey's
         | bankruptcy-advisory practice has paid more than $30 million to
         | the Justice Department and one client's creditors to settle
         | allegations that it failed to disclose potential conflicts, as
         | required by the federal bankruptcy rules.
         | 
         | I don't know how frequent it is, but when they do it to the
         | government it's at least a breach of contract and possibly
         | criminal: https://www.nytimes.com/2019/11/08/business/mckinsey-
         | crimina...
        
         | kevingadd wrote:
         | Lack of disclosure is a serious problem
        
         | Grustaf wrote:
         | The problem here wasn't that they worked for both sides but
         | that they didn't disclose it.
        
         | tharne wrote:
         | > Doesn't McKinsey frequently work for different clients in the
         | same industry even?
         | 
         | They do. It's a well-known way for companies to get inside info
         | on their competitors. You can't legally/ethically hire an
         | employee away from a competitor and then say, "tell us
         | everything you know about company X". But, you can hire a
         | McKinsey team that worked extensively for your competitor and
         | say "give us a list of 'best practices' in our industry".
        
       | spywaregorilla wrote:
       | McKinsey employee here.
       | 
       | This isn't a scandal, and is probably required by the FDA client
       | contract and the pharma client contracts. It is normative. The
       | FDA is fully aware that McKinsey serves pretty much every major
       | pharma company in the world. Pharma companies know McKinsey is
       | likely involved with federal agencies, probably including the
       | FDA. The contracts formed with all organizations will clearly
       | indicate that the relationship is going to remain private. A
       | really important part of working with a big consulting firm is
       | that you keep it internal to the team.
       | 
       | For example, the partnership might be serving both sides of a
       | vendor/procurement situation. It is a huge conflict of interest
       | if these two teams talk to each other and risk leaking their
       | side's position. Thus, not only are the teams allowed to talk to
       | each other, they're not allowed to communicate to others that
       | they're working with that client.
       | 
       | Nothing unique to McKinsey here. That's how consulting tends to
       | work.
        
         | burkaman wrote:
         | Did you read the article?
         | 
         | > This year ProPublica submitted a Freedom of Information Act
         | request to the FDA seeking records showing that McKensey had
         | disclosed possible conflicts of interest to the agency's drug-
         | regulation division as part of contracts spanning more than a
         | decade and worth tens of millions of dollars. The agency
         | responded recently that "after a diligent search of our files,
         | we were unable to locate any records responsive to your
         | request."
         | 
         | > McKinsey's contracts with the FDA, which ProPublica obtained
         | after filing a FOIA lawsuit, contained a standard provision
         | obligating the firm to disclose to agency officials any
         | possible organizational conflicts. One passage reads: "the
         | Contractor agrees it shall make an immediate and full
         | disclosure, in writing, to the Contracting Officer of any
         | potential or actual organizational conflict of interest or the
         | existence of any facts that may cause a reasonably prudent
         | person to question the contractor's impartiality because of the
         | appearance or existence of bias."
         | 
         | > Over the past couple of years, for example, McKinsey's
         | bankruptcy-advisory practice has paid more than $30 million to
         | the Justice Department and one client's creditors to settle
         | allegations that it failed to disclose potential conflicts, as
         | required by the federal bankruptcy rules.
         | 
         | There is no evidence that McKinsey disclosed their conflicts in
         | this case, and plenty of evidence that they regularly fail to
         | do so when working with the government, in clear breach of
         | contract. If they paid $30 million to make it go away, then by
         | definition it is a scandal. It is also potentially criminal:
         | https://www.nytimes.com/2019/11/08/business/mckinsey-crimina...
        
           | spywaregorilla wrote:
           | IMO, these things get poured over in great detail by legal
           | teams on both sides. The firm's internal controls are strong
           | and are probably considered sufficient to cover those bits,
           | even if the firm is serving competitors. I'm not a lawyer. I
           | don't look at contracts much, but that sounds like a standard
           | clause. It seems... very unlikely to me that propublica has
           | found anything noteworthy here. The bottom line is that all
           | clients sign agreements forbidding them or McKinsey from
           | sharing knowledge of the relationship. That comes with the
           | understanding that there are similar agreements with other
           | companies. McKinsey cannot disclose its relationships with
           | other companies. Recall that presidential candidate who got a
           | ton of flack because he wasn't able to disclose what he did
           | at McKinsey? It wasn't particularly sensitive, iirc. It was
           | just some work with a grocery chain and some other stuff. But
           | its still hard for the firm to allow sharing that information
           | because everything is NDA'd to hell.
           | 
           | Bankruptcy, as I understand it, is a different problem, that
           | tends to arise when the firm is serving the company in
           | bankruptcy, or one of its subsidiaries, which is problematic
           | because you don't want to do anything that could benefit your
           | position as a vendor for them... I think. Not particularly
           | well informed, but I get the impression its a complicated
           | ordeal.
        
             | burkaman wrote:
             | > McKinsey cannot disclose its relationships with other
             | companies.
             | 
             | Ok, then it can't take a job with the government. The
             | contract is clear. I'm not a lawyer either, but I do read
             | contracts before I sign them, and this one doesn't sound
             | very complicated. You're right that it is a standard
             | clause.
             | 
             | I don't understand why you think it's unlikely that this is
             | noteworthy, and I don't understand your explanation of why
             | the bankruptcy case was different. I agree it might have
             | been worse, hence the criminal investigation, but it sounds
             | like a breach of contract in both cases, possibly even a
             | breach of the exact same standard clause.
             | 
             | > the Contractor agrees it shall make an immediate and full
             | disclosure [...] of any facts that may cause a reasonably
             | prudent person to question the contractor's impartiality
             | because of the appearance or existence of bias.
             | 
             | Can you genuinely say that there are no facts in this case
             | that create even the appearance of bias?
        
               | spywaregorilla wrote:
               | > Can you genuinely say that there are no facts in this
               | case that create even the appearance of bias?
               | 
               | I can say with some confidence that nobody involved in
               | the agreement, on either side, would be surprised by this
               | article's findings. And I am assuming that there is
               | sufficient nuance around the concept of "appearance of
               | conflict of interest" is covered by the mutual
               | understanding of the firm's internal controls. I'll bet
               | that the FDA has no interest in suing McKinsey over this.
               | 
               | I don't think your casual reading of this snippet is
               | enough to understand how this works. You're welcome to
               | disagree.
        
               | burkaman wrote:
               | I am involved in the agreement, because the FDA is part
               | of my government. I don't want my government ignoring
               | conflicts of interest with a wink because "everybody
               | knows". I don't want my government ignoring contracts
               | because of an unwritten "mutual understanding". Based on
               | my understanding of human nature and your own posts in
               | this thread about how easy it is to move between projects
               | at McKinsey, I don't believe "firewalls" are effective
               | and I don't want an unethical organization with an
               | extremely recent national corruption scandal and blatant
               | conflicts of interest working for my government's
               | regulators.
        
               | spywaregorilla wrote:
               | You're missing the point. It's not "wink wink everybody
               | knows". It's "we explicitly understand you're working
               | with pharma companies whose interests may differ from
               | ours but that these teams will be isolated and thus under
               | no conflict of interest". It's not under the table.
               | 
               | I'm not sure what you mean by how easy it is to move
               | between projects. It's not. You don't just get to say
               | "hey I wanna work for tesla, anybody doing a project on
               | tesla?". That information is secret. But you do have the
               | ability to say "I would like to work in energy, and I
               | don't want to serve anyone working on oil".
               | 
               | I'm not entirely interested in changing your mind. Just
               | showing some context.
               | 
               | edit: cannot respond to the below, but the FDA does not
               | disclose all the details of its operations. I too would
               | like if government entities were fully transparent. But
               | that's another issue. You'll have a hard time getting ALL
               | the details of every decision made with FOIA acts. And
               | finally, there are consequences to breaking these
               | contracts. That should be obvious.
        
               | pfortuny wrote:
               | _In writing_ being the operative term. _In writing_ , not
               | just in "discussions".
        
               | spywaregorilla wrote:
               | In writing would only be the operative term if the
               | discussions concluded things were a conflict of interest.
               | They're not required to provide non-issues in writing.
        
               | burkaman wrote:
               | "the Contractor agrees it shall make an immediate and
               | full disclosure [...] of any facts that may cause a
               | reasonably prudent person to question the contractor's
               | impartiality because of the appearance or existence of
               | bias."
        
               | spywaregorilla wrote:
               | You can run in this circle as long as you want. If the
               | FDA execs and the McKinsey execs reach a mutual
               | understanding of the circumstances, including the fact
               | that McKinsey is going to be simultaneously serving
               | unnamed third parties with contrary interests, and that
               | this is ok, then the reasonably prudent person will
               | conclude that these are not factors to cause them to
               | question the contractor's impartiality. It would not be
               | surprising to me at all if additional language in the
               | contract explicitly address this point.
        
               | burkaman wrote:
               | Explicitly understood, but not documented, not disclosed
               | to the public, and no measures taken to ensure that
               | McKinsey is staying honest and no personnel or
               | information was shared between teams during the 12+ year
               | engagement. No concern that what they got caught for in
               | South Africa might not have been a one-time deal. Just
               | took their word for it and kept their secrets.
        
       | tharne wrote:
       | If I see McKinsey on someone's resume, it's a huge red flag.
       | Similar to "Head of marketing for children's sales at Phillip
       | Morris". Sure, all companies do some bad things, but the complete
       | lack of ethics required to succeed at McKinsey is next-level.
        
         | leroy_masochist wrote:
         | That's interesting. On whose behalf are you reviewing resumes?
        
         | kevmo314 wrote:
         | If you're getting their resume, maybe they didn't succeed and
         | they might have ethics :)
        
           | short_sells_poo wrote:
           | I'd agree with you. Basically the way these companies work is
           | that either you make partner in a specific timeframe, or you
           | are encouraged to go elsewhere. Almost by definition, people
           | who have a big consultancy on their resume did not make it to
           | partner for one reason or another.
        
             | elliekelly wrote:
             | Part of the business model is farming out "alumni" to
             | lucrative management roles at large companies (usually
             | clients) with the expectation they'll turn around and
             | engage the firm for even more consulting work.
        
             | wil421 wrote:
             | Most people I know who worked for the Big 4 left because
             | they were treated like dogs and worked endless hours. It's
             | not that they couldn't make partner it's that they didn't
             | want to. This applies to both the accounting and IT
             | consulting practices. A few of the accounting people have
             | very successful careers that pay much more than consulting,
             | including being a CFO.
             | 
             | A lot of others left for smaller consultancies where they
             | are able to have a say in the company versus being a cog in
             | the wheel.
             | 
             | I've debated going to McKinsey or the Big 4 but I'm not
             | traveling Sunday-Thursday. Smaller shops pay more. Speaking
             | with other consultants I've found that working with medium
             | sized Software Vendors means great benefits including sweet
             | RSUs and they don't travel as much.
        
           | tharne wrote:
           | That's a good a point, and something I honestly hadn't
           | thought of. They could be ethical folks who got sick of the
           | BS.
        
             | DrBenCarson wrote:
             | If you're interviewing a former McKinsey employee who
             | didn't spend any time at Partner, there is a very good
             | chance you're interviewing someone who 1. has at least as
             | much distate for McKinsey as you do and 2. cannot say so
             | before being hired because badmouthing employers isn't a
             | great interview approach.
             | 
             | The reason you hate McKinsey is not the people who leave,
             | it's the people who don't.
        
             | burkaman wrote:
             | I've worked with a lot of former "big 3" consultants and
             | they universally hated it and got out once they realized
             | how toxic the culture and organization was. Remember that
             | they recruit people right out of college and they're very
             | good at selling themselves, as that's what they do for a
             | living. People won't want to badmouth their former employer
             | in an interview, but this is definitely something you
             | should keep in mind.
        
         | jollybean wrote:
         | McKinsey is an interesting place, but I think this is very much
         | the wrong take - and the headline is out of context.
         | 
         | McKinsey is a conglomerate of silos, and it's entirely possible
         | for McKinsey NY to be working on something that's related to
         | something McKinsey Atlanta is working on - that doesn't make it
         | a conflict of interest.
         | 
         | In any more than banks advise and act for all sorts of clients
         | who have related interests.
         | 
         | There are reasons to maybe having Red Flags (or points of
         | concern really) about McKinsey people but I don't think that
         | this is generally it.
         | 
         | I would hire everyone from McKinsey that I know if there were a
         | role for them, and their 'integrity' wouldn't remotely be an
         | issue. The issue frankly is how applicable their skills would
         | be in most operational environments.
        
           | teachrdan wrote:
           | It seems that you didn't even read three paragraphs into the
           | article:
           | 
           | "At times, McKinsey consultants helped those drugmaker
           | clients fend off costly FDA oversight -- even as McKinsey
           | colleagues assigned to the FDA were working to bolster the
           | agency's regulation of the pharmaceutical market. In one
           | instance, for example, McKinsey consultants helped Purdue and
           | other opioid producers push the FDA to water down a proposed
           | opioid-safety program. The opioid producer ultimately
           | succeeded in weakening the program, even as overdose deaths
           | mounted nationwide."
           | 
           | McKinsey was actively helping opioid manufacturers minimize
           | government oversight. The misconduct in question by McKinsey
           | isn't hypothetical.
        
             | jollybean wrote:
             | You've provided evidence that supports my position.
             | 
             | Different McKinsey teams were hired by different entities
             | to do different things.
             | 
             | To the extent that those teams are not related or
             | coordinating, that's understandable and not a breach of
             | ethics.
             | 
             | An Accenture division can be helping to the IRS build tax
             | compliance software while another division help companies
             | write tax minimization software.
             | 
             | There are only a small number of 'Big Accounting' firms,
             | and they all have overlapping interests.
             | 
             | Banks to similarly.
             | 
             | McKinsey, Goldman, Accenture, all the big accounting firms
             | are always working with 'Big Pharma' and 'Government' at
             | the same time and all of the parties know this.
             | 
             | While we do need to be wary and cautious about backchannel
             | information passing etc. - the notion that there's a breach
             | of public interest as it is being presented is hyperbole.
        
           | alistairSH wrote:
           | Except US government contracts have specific language
           | requiring disclosure of conflicts. That Kinsey ignores this
           | language and instead pays fines indicates both that Kinsey
           | lacks some morals and also that the contract process with the
           | US is broken (at minimum, the fines should be higher to
           | discourage this behavior).
        
         | boh wrote:
         | Not sure what "next level" means.
         | 
         | McKinsey is a consultant. If a company asks it to figure out
         | how to make the world a better, happy place, it'll consult on
         | that, but they don't. McKinsey has been used as an excuse for a
         | host of evil activity but it's their clients that asked them to
         | advise them and the clients that execute on the suggestions.
        
           | alistairSH wrote:
           | That sounds very close to "just following orders".
           | 
           | Enabling evil is itself evil.
           | 
           | Whether or not McKinsey is, when taken as a whole, evil is
           | debatable. But, they certainly do enough work with dictators
           | and other known bad actors that we should have the debate.
        
             | pempem wrote:
             | We should have that debate about every organization.
             | 
             | McKinsey primarily (not exclusively) works with actors who
             | have the ability to pay fees, and those tend to be actors
             | in power.
             | 
             | The number of organizations whose leaders have had intimate
             | dealings with saudi arabia or other nation states with
             | dictators at the helm would include most of our employers.
        
           | wgj wrote:
           | It's a little bit like intent laundering, isn't it.
        
             | boh wrote:
             | Yes that's why they hire them. Often managers hire McKinsey
             | to legitimize their own ideas and then use them as
             | scapegoats if things go sideways. That's one of their main
             | selling points.
        
             | jacobr1 wrote:
             | Even in the benign case it usually intent laundering.
             | Consultants are often brought in to deal with
             | organizational inability to do something that a substantial
             | chunk of the employees already knows they need to do. It is
             | one of the reasons they can be successful hiring people
             | straight from school and putting them on big accounts. The
             | basic formula for many of these jobs is to interview
             | employees, figure out the way forward that the sponsoring
             | exec really wanted anyway in the form a synthesis of what
             | the employees suggested, add some data and pretty graphs to
             | a report, and then lend the idea external credibility (and
             | future blamability if it fails).
        
         | buggythebug wrote:
         | Is this anecdotal or is it well known?
        
           | IMTDb wrote:
           | Well known, based on personal experience with these folks.
           | 
           | But most of the time, it's due to how these guys are managed
           | by their client. When you bring in an individual from a top
           | consulting firm, they will fight tooth and nail to get the
           | results you want. Or at least not "fail" at getting those.
           | 
           | If this means doing a great job, they will definitely do
           | that. If - due to factors they can't really control - they
           | need to endanger the rest of the project so that their part
           | is successful, they will avoid to do it if they can. But they
           | will do it if they need to. Failing is just not an option.
           | 
           | This is the danger of hiring consultants: incentives are not
           | fully aligned between you and them. You want the whole
           | project to be successful - on the long run. They want their
           | part to be successful - right now.
           | 
           | If you are careful enough, these two absolutely coexist. If
           | you aren't it can be dangerous for you whole organisation.
        
           | tharne wrote:
           | Anecdotal, based on personal experience with these folks
        
         | xadhominemx wrote:
         | Seems like you are a mid-level technical person, no? So I doubt
         | you'd ever see the resume of McKinsey consulting staff.
        
           | burkaman wrote:
           | McKinsey has hundreds (thousands?) of software engineers and
           | data scientists.
        
             | xadhominemx wrote:
             | Sure but who really cares about back office staff in this
             | context
        
               | burkaman wrote:
               | I had a CS professor in college who every year would give
               | a speech about a hypothetical engineer designing pipe
               | fittings that are eventually used in concentration camp
               | gas chambers. The point is not that if something you make
               | is used for evil that makes you a bad person, but that
               | you should pay attention to the broader consequences of
               | your work even if it appears innocuous, and if you find
               | out it's being misused, do something about it. Quit or
               | complain to your boss or tell the media or alter your
               | design or something.
               | 
               | I'm sorry to jump to Nazis, I know you're not supposed to
               | do that on the internet. I'd like to explicitly state
               | that I don't think McKinsey employees are as bad as
               | Nazis. This comment just reminded me of that very
               | valuable lesson in engineering ethics.
               | 
               | In this case it's not really relevant - engineers on
               | consulting projects are not "back office staff". They're
               | part of the team, on site, in meetings, making decisions.
        
               | rkk3 wrote:
               | Or you could work for IBM
               | 
               | > https://en.wikipedia.org/wiki/IBM_and_the_Holocaust
        
               | nwatson wrote:
               | The "pipe fittings" reminds me of the first season of
               | "Patriot", an Amazon Prime show whose first season was
               | excellent, a spy/engineering thriller (I only watched the
               | first two episodes of season two, not sure whether it's
               | good or not, seemed weak by comparison).
               | 
               | In any case, watch
               | https://www.youtube.com/watch?v=P5-9Rfrui9A "'Patriot'
               | Piping Lingo, The McMillan Way (Amazon Prime)", where a
               | seasoned CEO / engineer talks about pipe fittings at
               | length. I'm sure software/devops engineers sound just as
               | obtuse to those not familiar with software.
        
               | robocat wrote:
               | That is the long running "Turbo Encabulator" trope, the
               | original is here
               | https://www.youtube.com/watch?v=Ac7G7xOG2Ag but there are
               | some wonderful rerenditions and tributes if you search
               | for those keywords on YouTube.
        
         | ecf wrote:
         | > If I see McKinsey on someone's resume, it's a huge red flag
         | 
         | I can't wait for the day when engineers from Facebook or Google
         | are treated the same way after all the harm those companies
         | have caused is revealed.
        
           | spywaregorilla wrote:
           | I work for McKinsey. In my opinion, the ethical costs of
           | working for Facebook are far worse. In some way, if you work
           | for facebook, you are supporting the product Facebook, which
           | I find unethical. If you work for McKinsey, it's a
           | decentralized org. You might not like that there's a team
           | serving oil or cigarette or saudi clients, but the work you
           | do won't have any bearing on them. You can work on helping
           | clients in spaces that you think are good to serve and refuse
           | to serve clients in spaces you don't. There's an element in
           | that money goes to the top, enriching partners whose work you
           | may disagreement. But... eh, I would say the flow of money is
           | much less interesting than the individual impacts of my work.
           | Am I enabling more work to be done in oil and cigarettes? In
           | my opinion, not really.
           | 
           | It's pretty cool to be able to turn down projects because you
           | disagree with them ethically. I can't say I agree with the
           | other doom and gloom posts that say everyone leaving hates
           | the company. I would say the average employee leaves on
           | positive terms.
        
             | bboylen wrote:
             | Of course people who choose to work at McKinsey in the
             | first place feel good about it. Says more about them than
             | it does about McKinsey being moral
        
               | spywaregorilla wrote:
               | What if your priors aren't fully informed and asking
               | questions to people with first hand experience could
               | provide useful information?
        
             | burkaman wrote:
             | If you don't care about the money, couldn't you do the same
             | work for an organization that doesn't work for Saudi
             | Arabia? Job market is pretty good right now, and it's not
             | like it's difficult to find a company that doesn't have
             | seven chapters in its Wikipedia Controversies section.
        
               | spywaregorilla wrote:
               | Money is pretty good. Probably less than tech equivalent.
               | When I said I don't care about the money flow I meant I
               | don't care if the work ultimately enriches people whose
               | ethics I don't agree with in part.
               | 
               | Short answer is I like my job. I like the work that I do.
               | I think it directly helps the world be better. I get to
               | operate at a very high level working with CEOs of
               | important companies. The company is genuinely interested
               | in advancing my career. It's a rare mix of tech and
               | business. Coworkers are pleasant. Leadership is good and
               | listens to its people.
               | 
               | The controversies don't bother me that much. the firm is
               | decentralized. It bothers me about as much being
               | associated with American problems. On a whole I think the
               | firm helps things more than it hurts. The same
               | confidentiality rules prevent us from sharing our
               | successes. ymmv
        
               | Matticus_Rex wrote:
               | The organizations where you can do the same work that
               | aren't McKinsey (assuming you're in the strategic
               | management consulting side) tend to not be much better
               | than McKinsey on that front. You could go niche, but you
               | might end up making half the money (or double, or both
               | depending on the year).
        
             | ativzzz wrote:
             | I work as a database engineer at FB. Do I contribute to the
             | issues FB causes? not really.
             | 
             | I work as an accountant at FB. Do I contribute to the
             | issues FB causes? Not really.
             | 
             | I work as a product manager at FB that isn't a
             | "problematic" project. Do I contribute to the issues FB
             | causes? Not really.
             | 
             | Your mental gymnastics are on par for a McKinsey type
             | consultant.
        
               | RhysU wrote:
               | In all cases, yes, the hypothetical employee contributes
               | to FB-spread societal damage.
               | 
               | For example, if I design a boring mechanical part for a
               | bomb my labor is integral to when that bomb kills
               | civilians. So, if you are in the defense industry,
               | believe in the net benefits of the missions that you
               | support. And likewise for FB.
               | 
               | Claiming one is a meaningless cog in a machine, FB or
               | otherwise, and one is therefore absolved of the
               | responsibility of one's downstream impact is disgusting
               | cowardice.
        
               | spywaregorilla wrote:
               | I don't agree though. That's my point. A database
               | engineer, accountant, and PM all enable the product they
               | support. That is the ultimate goal of the work.
               | 
               | If I work on a project to help a pharma company set up
               | its supply chain to produce rare disease treatments, does
               | that enable some guy in Asia to work on oil projects?
               | Vaguely, yes in the sense that there is more money in the
               | system. But not much, and certainly far less than it does
               | on building the local capability to support other pharma
               | companies on similar supply chain problems.
               | 
               | Personally I feel the direct impact of my work is
               | positive, and likely orders of magnitude more positive
               | than I would see working in tech for "engagement" or
               | spyware or whatever. If I decide to leave, I'll go to one
               | of the companies working on these same sets of problems.
               | 
               | And on a wider spectrum, no I don't believe the firm is
               | bad on a whole. I think it nets good, trending towards
               | banal average.
               | 
               | edit: putting it another way Facebook could not run (or
               | would run less effectively) if it had 0 database
               | engineers or PMs. McKinsey's oil division could work just
               | fine if it had 0 pharma consultants. And its not that
               | much of an anathema for some people to work on oil
               | clients.
        
             | MisterBastahrd wrote:
             | That's an amazing amount of ethical gymnastics that one
             | would expect from someone who works for McKinsey.
        
             | rfriedman99 wrote:
             | "Am I enabling more work to be done in oil and cigarettes?
             | In my opinion, not really."
             | 
             | Your opinion is not borne out by facts: it is a way of
             | letting you rationalize working for an organization that is
             | corrupt and corrupts other.
        
               | colinmhayes wrote:
               | On the margins this really isn't true. I know a couple
               | people working on Mckinsey's renewable energy team.
               | They're directly responsible for billions of dollars of
               | solar and wind farm build out that likely wouldn't have
               | happened to anywhere near the same extent if the
               | generators hadn't brought in consultants. I also know
               | someone who was on the Tyson chicken team whose job was
               | to remodel the slaughterhouse so they could fire
               | everyone.
               | 
               | Mckinsey absolutely lets you choose the team you work on,
               | there is zero expectation to work on teams that service
               | immoral industries or companies.
        
               | Talanes wrote:
               | >there is zero expectation to work on teams that service
               | immoral industries or companies.
               | 
               | Except for management consulting, of course.
        
       | caturopath wrote:
       | I'd be surprised if McKinsey hadn't been hired by every large
       | pharma company.
        
       | robg wrote:
       | First rule for conflicts of interest: Even the appearance of a
       | conflict is itself a conflict.
       | 
       | Knowing the good folks at FDA, this reality is protected against,
       | but glad to have ProPublica shining a light.
        
         | mannykannot wrote:
         | While I do not doubt the integrity of the good folks at the
         | FDA, it is unclear to me that they could in any way protect
         | against the real conflict of interest in McKinsey telling the
         | opioid makers what the folks at the FDA were thinking, doing or
         | being advised to do, or giving the manufacturers advice
         | predicated on that knowledge.
        
       | chirau wrote:
       | It seems everytime McKinsey is in the press it's for the wrong
       | reasons.
       | 
       | I will never forget what they did to South Africa. Fascinating
       | read
       | 
       | https://www.nytimes.com/2018/06/26/world/africa/mckinsey-sou...
        
       | leroy_masochist wrote:
       | I bet McKinsey also never told the Department of Transportation
       | that it was working for both the DoT and major car manufacturers.
       | 
       | Executives senior enough to approve hiring McKinsey to study
       | something, whether they're F500 CEOs or government agency heads,
       | know full well that the top consulting firms are all advising
       | their competitors, counterparties, and regulators/regulatees. The
       | facts reported in this article would indeed be scandalous if they
       | included evidence that the FDA team at McK was tipping the pharma
       | teams on private FDA plans or discussions, but that is not the
       | case. If anything, this case is merely illustrative of why major
       | consulting firms have borderline-paranoid cultural norms around
       | never discussing client work outside of the respective client
       | team, even (and especially) to one's own colleagues at the firm
       | who are not staffed on said team.
        
         | burkaman wrote:
         | Did anybody here read the article? I don't want to keep pasting
         | the same quotes on every comment, but McKinsey just paid $30
         | million to settle a case where they did the exact same thing to
         | the Department of Justice. Why would they do that if this is
         | normal and nobody cares? The contract language is very clear:
         | they have to disclose potential conflicts (even if "everybody
         | already knows"), and they didn't.
        
           | throwaway0a5e wrote:
           | >but McKinsey just paid $30 million to settle a case where
           | they did the exact same thing to the Department of Justice.
           | Why would they do that if this is normal and nobody cares?
           | 
           | Yes and?
           | 
           | This is normal. Nobody cares as long as you do it right. Just
           | because the desk that deals with DOJ did it wrong doesn't
           | mean the desk that deals with FDA did. You see these kinds of
           | complicated, seemingly conflicting, relationships in high
           | finance all the time. In practice it's a non-issue because of
           | how these companies are structured and because they try to
           | keep clients at arms length as a matter of routine business.
           | The business relationship here is very similar to one that
           | AWS and Azure may have with a 3rd party datacenter
           | contractor. Sure one could pay the contractor for tips but in
           | practice that doesn't happen except very rarely because of
           | how everything is structured.
        
             | burkaman wrote:
             | > Just because the desk that deals with DOJ did it wrong
             | doesn't mean the desk that deals with FDA did.
             | 
             | But...they did. They didn't disclose their conflicts,
             | unless the FDA is lying for some inexplicable reason.
             | Again, it's in the article, it's not that long.
             | 
             | > You see these kinds of complicated, seemingly
             | conflicting, relationships in high finance all the time.
             | 
             | You sure do.
             | 
             | > it's a non-issue because of how these companies are
             | structured
             | 
             | These companies are structured to make money by any means
             | necessary. Just a few years ago McKinsey corrupted
             | government officials and used them to get contracts with
             | utilities and infrastructure providers. Was there a
             | firewall between the government desk and the utilities
             | desk?
        
           | notyourday wrote:
           | These as fines are too small. It is just a cost of doing
           | business. The fines should be _devastating_ so getting 5-6 of
           | such fines should be a death penalty for the company
        
             | jacobr1 wrote:
             | The fines aren't big enough to change their business, but
             | they are quite possibly big enough to change their
             | _proceedures_. I can easily imagine there becomes more
             | stringent internal rules and processes on disclosures, even
             | if they keep doing business the same way in general.
             | 
             | If we are talking about fines that could cause the firm to
             | go out of business, we need evidence of actual abuse of
             | position. I'm not sure failure to disclose, by itself, is a
             | sufficient transgression. On the other hand, it seems that
             | it might be fair to penalize firm their fee on the
             | contract, or a meaningful portion of it, on the basis of
             | breach of contract. I'm not sure if that would be higher or
             | lower than the current penalty.
        
             | eesmith wrote:
             | And staff should go to jail.
        
             | twobitshifter wrote:
             | Mckinsey is paying 600 million to states which is 10-20% of
             | yearly profits.
             | 
             | https://www.forbes.com/sites/r
             | obertzafft/2021/02/07/mckinseys-573-million-absolution--
             | value-for-money--but-for-whom/?sh=517a72c56429
        
               | nawgz wrote:
               | Yes, which is his point, 10-20% of yearly profits is a
               | literal cost of doing business, and not a particularly
               | damaging one. Most companies would gladly trade 20%
               | profit in order to control information from every side of
               | their industry...
        
         | danso wrote:
         | Sure, but the requirement for disclosure seems pretty
         | straightforward:
         | 
         | > _. McKinsey's contracts with the FDA, which ProPublica
         | obtained after filing a FOIA lawsuit, contained a standard
         | provision obligating the firm to disclose to agency officials
         | any possible organizational conflicts. One passage reads: "the
         | Contractor agrees it shall make an immediate and full
         | disclosure, in writing, to the Contracting Officer of any
         | potential or actual organizational conflict of interest or the
         | existence of any facts that may cause a reasonably prudent
         | person to question the contractor's impartiality because of the
         | appearance or existence of bias."_
        
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