The discussion centers around McKinsey and Company's settlement of $650 million following their involvement in the opioid crisis, where they played a role in promoting aggressive marketing strategies for opioid manufacturers, contributing to widespread addiction and overdose deaths. Commenters express outrage over the settlement as insufficient, arguing for stronger accountability, potentially including criminal charges for individuals involved. There are critiques about the effectiveness and ethics of the consulting industry as a whole, particularly pertaining to the perceived lack of depth in consultants’ knowledge from extensive client engagements. The discourse also suggests that financial penalties do not deter similar future misconduct unless harsher consequences, like bonus clawbacks, are instituted. Many argue that merely paying a fine trivializes the depth of harm caused, emphasizing that significant institutional changes are necessary to prevent further corporate malpractice.