The consulting firm will not admit wrongdoing, according to the multistate settlement, but will agree to court-ordered restrictions on its workHere is the heart of the problem. The penalty might be more than the revenue earned on the project but it's still small enough to be just a cost of doing business. Until the penalty becomes large enough to end the business, or better yet the C-suite executives are at risk of prison or personal bankruptcy, there will not be motivation enough to change behavior.The amount McKinsey is paying is substantially more than it earned from opioid-related work