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So, I shared some of your impressions, but also some of what Vox is conveying. Speaking from personal experience, the problem with large public institutions (maybe any institution?) hiring these consultancies is that there's enormous intrinsic pressure to accept their recommendations. Say, public institution X spends exorbitant fees on consultancy Y. Now they're going to choose to ignore the recommendations? If the recommendations are bogus, there will be hellfire about why the public institution is transferring huge quantities of funds to a private organization that is incompetent or sketchy. If the recommendations are not, then there will be hellfire about why the public institution is ignoring the recommendations. As a result, a lot of times there's suspicion that these consultancies are just cover for administration or management making decisions that would be unpopular, controversial, or self-serving. At least in my experience, they're seen as a power grab for those already in positions of power. That is, the consultancy comes in, asks management/admin what they would like to see, and then they put it in the recommendations. Then admin can say "look, we didn't tell ourselves to [do incredibly controversial thing Z, like cut basic staff and give administration big raises], this fully independent third party said to do this." As a result, I think hard questions about what you're getting from consultancies are actually apropos of the Vox article, and relevant to the perception that shady constituencies are somehow hijacking public services for their own benefit. When you pay large sums of money to a consultancy, whose methods are unclear, and have unclear scientific support, and assumes that, e.g., management of publicly traded for-profit companies and management of non-profit government organizations can be treated similarly, it leads to legitimate questions about whose motives are being served. The WHO would have been better off imho convening a special strategy or reform committee made of inside and outside members than something like McKinsey. |
That is to say, another way of looking at this is that tough decisions require extraordinary evidence. If a neutral third party comes to the same conclusion, a cynical way to characterize that is it gives you "cover" to do what you wanted to do anyway. But an equally true way to characterize it is that if you weren't sure before, it allows you to be more confident that that was really the right decision.
If I were going to say, fire 20% of my staff, i'd want a neutral third party to come in and evaluate that decision before I just went off and did it too.