
Behind McKinsey's elite facade lurks a darker truth. Two NYT investigative journalists expose how the world's most powerful consulting firm turbocharges opioid sales and serves controversial clients. "Panoramic and devastating" (Patrick Radden Keefe) - this expose redefines corporate accountability.
Walt Bogdanich and Michael Forsythe, Pulitzer Prize-winning investigative journalists at The New York Times, merge decades of watchdog reporting expertise in When McKinsey Comes to Town: The Hidden Influence of the World’s Most Powerful Consulting Firm. Bogdanich, a three-time Pulitzer recipient (1988, 2005, 2008), has exposed systemic failures in healthcare, railroad safety, and global pharmaceutical supply chains.
Forsythe, a George Polk Award winner (2013) and former U.S. Navy officer, built his career unraveling financial and geopolitical networks, including elite Chinese Communist Party families. Their collaboration blends rigorous document analysis—drawing on 100+ interviews and thousands of internal McKinsey records—with a searing critique of corporate ethics.
The book, a New York Times bestseller lauded by Nobel laureate Joseph Stiglitz and investigative icon James B. Stewart, dissects McKinsey’s role in crises from the opioid epidemic to authoritarian regimes. Bogdanich’s prior exposes on medical lab malpractice (The Great White Lie) and Forsythe’s investigations into offshore finance (Tiger Cubs, Bloomberg) inform their relentless scrutiny of power structures. Translated into 12 languages and cited in congressional hearings, When McKinsey Comes to Town has redefined public understanding of corporate consulting’s global footprint.
When McKinsey Comes to Town investigates McKinsey & Company’s global influence on corporations and governments, exposing its role in crises like the opioid epidemic and the 2008 financial crash. The book critiques McKinsey’s profit-driven strategies, ethical lapses, and cultural prioritization of efficiency over societal welfare, using case studies like U.S. Steel’s restructuring in Gary, Indiana.
This book is essential for professionals in consulting, corporate governance, or public policy, as well as readers interested in corporate ethics and accountability. It offers critical insights into how management decisions impact society, making it valuable for those examining power dynamics in business.
Yes—the book provides a meticulously researched exposé of McKinsey’s controversial practices, blending investigative journalism with analysis of corporate ethics. Its revelations about conflicts of interest and real-world consequences make it a compelling read for understanding modern consulting’s hidden costs.
The authors accuse McKinsey of prioritizing profit over ethics, enabling harmful client actions (e.g., opioid manufacturers and authoritarian regimes), and avoiding accountability through nondisclosure agreements. Case studies highlight environmental damage, labor cuts, and safety compromises tied to its recommendations.
McKinsey advised pharmaceutical firms like Purdue Pharma on boosting opioid sales through aggressive marketing tactics, despite knowing the drugs’ addictiveness. The book argues this consultancy directly contributed to widespread public health devastation, with McKinsey later settling lawsuits but avoiding full accountability.
Key examples include U.S. Steel’s layoffs and safety compromises in Gary, Indiana; Disneyland’s maintenance cuts leading to fatal accidents; and Saudi Arabia’s use of McKinsey strategies to consolidate authoritarian power. These cases reveal systemic risks in McKinsey’s data-driven, profit-first approach.
The book questions whether consultancies like McKinsey share accountability for clients’ harmful actions. It challenges the “neutral advisor” narrative, arguing firms must weigh societal consequences when providing strategies tied to layoffs, deregulation, or public health crises.
McKinsey’s “up or out” promotion system and performance-based compensation incentivize prioritizing client growth over ethical considerations. Employees face pressure to deliver short-term profits, often ignoring long-term social or environmental impacts.
Notable quotes include:
Unlike abstract critiques, this book uses documented case studies to link McKinsey’s strategies to tangible harm. It parallels works like The Firm by Duff McDonald but emphasizes recent scandals and global policy impacts.
As consulting firms expand into AI and climate policy, the book’s warnings about unregulated corporate influence remain urgent. It serves as a cautionary tale for balancing innovation with ethical oversight in evolving industries.
While not prescriptive, it implies stricter regulatory oversight, transparency mandates, and ethical frameworks for consultancies. The authors stress aligning business strategies with societal well-being rather than short-term gains.
著者の声を通じて本を感じる
知識を魅力的で例が豊富な洞察に変換
キーアイデアを瞬時にキャプチャして素早く学習
楽しく魅力的な方法で本を楽しむ
McKinsey's actual impact often contradicts its lofty rhetoric.
McKinsey argued for replacing veteran workers' 'intuition' with 'science'.
Consultants were simply doing what they were paid to do: give advice, not orders.
McKinsey's 'entire job is to make shareholders more money.'
CEO pay had ballooned from 20 times a worker's income to 351 times.
『When Mckinsey Comes to Town』の核心的なアイデアを分かりやすいポイントに分解し、革新的なチームがどのように創造、協力、成長するかを理解します。
鮮やかなストーリーテリングを通じて『When Mckinsey Comes to Town』を体験し、イノベーションのレッスンを記憶に残り、応用できる瞬間に変えます。
何でも質問し、学習スタイルを選び、自分に本当に響くインサイトを一緒に作れます。

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A father of two comes home from his shift at a steel mill. Within months, he's dead-electrocuted on equipment that hadn't been properly maintained. A grandmother in rural Kentucky takes her prescribed pain medication, unaware she's stepping onto a path that leads to addiction and despair. A young consultant at the world's most prestigious firm discovers the "change that matters" she was promised means helping coal companies maximize profits while the planet burns. These stories aren't isolated tragedies. They're connected by invisible threads leading back to the same place: a consulting firm so powerful yet so secretive that most people have never heard its name, even as it quietly reshapes everything from your healthcare costs to your job security. McKinsey & Company operates where power concentrates-in corporate boardrooms, government offices, and the inner circles of authoritarian regimes. With 34,000 employees across 65 countries, this elite firm attracts the brightest minds with an irresistible pitch: not just wealth and prestige, but the chance to solve the world's toughest problems. Yet this promise of purpose masks a troubling reality. McKinsey's fingerprints appear on some of modern society's most devastating failures, from the opioid epidemic to historic wealth inequality. The firm's genius lies in its business model-give advice, not orders, then disappear before consequences arrive.
At U.S. Steel's Gary, Indiana plant, CEO Mario Longhi hired McKinsey in 2014 for a "relentless focus on economic profit." The firm's "Carnegie Way" transformation brought layoffs and compromised safety. Charles Kremke was electrocuted first. Union members demanded McKinsey leave. Months later, Jonathan Arrizola-a thirty-year-old Navy veteran who had complained about workforce cuts-was also electrocuted. U.S. Steel paid just $14,500 in fines for both deaths. Investors later sued, calling the Carnegie Way a "sham" that left skeleton crews working 90-hour weeks, jury-rigging failing equipment. At Disneyland, McKinsey's "Transforming Maintenance" report replaced veteran workers' intuition with data-driven "science" prioritizing cost savings. When consultants questioned daily lap bar inspections, supervisor Bob Klostreich objected: "The reason they don't fail is because we check them every night." Five months later, an untrained supervisor caused a metal cleat to tear loose, killing visitor Luan Dawson. More deaths followed. McKinsey faced no lawsuits or government accusations. Consultants were simply giving advice, not orders-an arrangement letting the firm dodge accountability when things go wrong.
McKinsey's recruitment pitch is irresistible: join us and change the world. Accepting only 1-2 percent of 200,000 annual applicants, selection validates both intelligence and purpose. New consultants earn up to $195,000, with partners eventually making millions. The firm promotes global "Values Day" events emphasizing principles like "Put client interests ahead of the firm's" and "observe high ethical standards." Yet a fundamental tension emerges: what happens when clients sell harmful products, mistreat immigrants, or support corrupt governments? Former consultant Roge Karma noted that unlike product companies, McKinsey's "entire job is to make shareholders more money." Though consultants can refuse objectionable assignments, this shifts ethical choices to junior staff-and declining work can harm advancement. The firm escaped public scrutiny until 2018, when investigations revealed McKinsey had helped authoritarian governments, worked with sanctioned Russian companies, and implemented Trump's harsh immigration policies. Most damaging was McKinsey's work helping companies sell more opioids amid a deadly epidemic, resulting in a $600 million settlement. Tom Peters, co-author of "In Search of Excellence" and former McKinsey consultant, declared himself "appalled."
America's wealth gap widened dramatically after McKinsey's 1950 executive compensation study for General Motors revealed worker wages outpacing executive pay - a trend McKinsey helped reverse. Consultant Arch Patton's compensation studies sparked executive competition to avoid bottom-tier rankings, justifying higher pay through profit-linking and tax-advantaged stock options. By 2020, CEO pay exploded from 20 times to 351 times worker income. Asked about his role, Patton responded with one word: "Guilty." McKinsey's "The War for Talent" declared job-hopping virtuous: "The old reality: Employees are loyal. The new reality: People are mobile and their commitment is short term." The firm argued that "corporate downsizing of the late 1980s first broke the traditional covenant that traded job security for loyalty." As union membership collapsed from 34% in 1954 to 10% in 2020, McKinsey championed offshoring, branding India as "Offshore-istan." While manufacturing and desk jobs vanished overseas, McKinsey pushed soaring executive compensation, arguing "talented managers expect to make a lot of money." At Enron, led by a former McKinsey partner, executives pocketed nearly $300 million in one year before the company's collapse.
In 2002, McKinsey published a strategy article proposing pharmaceutical companies use prescription databases to "target physicians who are most likely to prescribe more of a given drug over time." This became a blueprint for disaster. Between 2004-2019, Purdue Pharma paid McKinsey $83.7 million for marketing advice that accelerated OxyContin sales. McKinsey's data analysis identified doctors most likely to prescribe opioids, creating a precision-guided weapon devastating communities nationwide. As investigators circled Purdue, McKinsey helped counter negative publicity and orchestrate FDA approval for "abuse-deterrent" OxyContin-a modification that didn't address addiction risks. In Fort Wayne, Indiana, a single Purdue representative generated $2 million in first-quarter sales while opioid deaths surged. By 2013, McKinsey's recommendations became remarkably aggressive: "turbocharged" sales tactics including circumventing pharmacy restrictions through mail-order delivery and proposing rebates to distributors based on overdoses. When consultants were discovered discussing purging records, McKinsey paid over $600 million to settle investigations, while Purdue filed bankruptcy and the Sackler family agreed to pay $4.5 billion. The human cost: 750,000 deaths in an epidemic claiming lives daily.
McKinsey's secrecy culture creates an accountability vacuum-the firm answers only to clients, not government oversight. This enables McKinsey to work both sides of contentious issues, generating conflicts unacceptable in most professions. In Illinois, McKinsey provided pro bono poverty work, then secured over $75 million in Medicaid contracts without competitive bidding. The firm helped write specifications for a $63 billion managed care procurement while having billed managed care companies over $200 million. McKinsey simultaneously advised nineteen FDA-regulated drug companies (billing them $400 million over three years) while collecting $130 million in FDA contracts. When auditors threatened termination over conflicts, McKinsey refused records requests. A GSA director intervened, removed the contracting officer, and awarded McKinsey the contract-with prices exceeding market rates by up to 193%, costing taxpayers $69 million. McKinsey's global reach spans 65+ countries, advising pharmaceutical companies and their regulators, health insurers, weapons makers, despots, and democratic leaders alike. In Saudi Arabia, the Planning Ministry became known as the "Ministry of McKinsey." Even after Jamal Khashoggi's murder, McKinsey attended "Davos in the Desert" weeks later, with Saudi revenue increasing in 2019.
Nearly one hundred current and former McKinsey employees broke their silence, disillusioned by the gap between the firm's stated values and its actions. Erik Edstrom-West Point athlete, Oxford graduate, inspired by Al Gore's climate documentary-joined hoping to work on environmental issues. Instead, he discovered McKinsey's proud history serving fossil fuel companies. Despite public commitments to "protecting the planet," the Australia office celebrated helping an Asian coal mine increase production by 26 percent. When Edstrom's "Green Team" suggested McKinsey's fossil fuel clients contributed to the Great Barrier Reef's destruction, "that message fell on deaf ears." After questioning whether serving arms manufacturers aligned with company values, he was "counseled to leave." Since 2010, McKinsey has worked for at least 43 of the 100 companies responsible for the most carbon emissions-collectively accounting for 36% of global greenhouse gas emissions in 2018. By March 2021, frustrated consultants sent leadership an open letter: "The climate crisis is the defining issue of our generation." McKinsey's story reveals how power operates in modern society-hidden behind closed doors, shielded by confidentiality, accountable only to those who can afford its fees.