Unless you count the UK as a banana republic (well maybe these days...a turnip monarchy perhaps?) they did manage to fleece the NHS quite successfully:
I worked with some Accenture people on a gov.uk project not a lot of years ago -- they were hand installing redhat 6 machines that we'd have to request via spreadsheet....
https://www.digitalhealth.net/2021/05/nhs-digital-denies-con...