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德勤政府合同的系统性失败与"旋转门"困局

德勤通过"旋转门"人事网络和系统锁定,在美国政府 IT 采购中形成了一个 400 亿美元的垄断,尽管项目失败率极高,但因为没有部门有动机修复,反而通过"修复失败"持续获利。
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2026-02-04 原文链接 ↗
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核心观点

  • 系统性失败而非偶发事故 德勤在 25 个州的政府项目中无一幸免地出现严重故障(加州失业金欺诈 310 亿、田纳西 25 万儿童失医保、CCMS 项目烧掉 19 亿后取消),这不是个别项目管理不善,而是跨地区、跨年代的持续模式。
  • "旋转门"制度化了利益共同体 Seema Verma、Mary Mayhew 等官员在政府部门与德勤之间频繁流动,掌握预算分配权的人离职后进入承包商或游说机构,形成了合法但高度可疑的利益链条——这比直接贿赂更难对付,因为完全符合现行法律。
  • 失败本身成了商业模式 德勤因系统崩溃被罚 800 万美元,随后却获得 1.35 亿美元新合同;加州重新雇佣德勤来"修复"其设计的失败系统。这说明在极高替换成本的复杂系统中,烂到需要长期救火反而成了稳定收入来源。
  • 数据计算存在明显漏洞 核心的"740 亿"由 400 亿合同额和 340 亿"估算损失"组成,但作者未提供 340 亿的计算方法论,存在将合同总额与间接损失混淆、重复计数的风险,这个数字更像是情绪化的标题而非严谨的财务分析。
  • 缺乏对照基准和全样本分析 文章只展示了最严重的失败案例,未回答:德勤一共做了多少项目、失败率是否显著高于行业平均、其他承包商(如 Accenture、CGI)的表现如何。这种"以点代面"的论证方式削弱了"德勤特别烂"的结论。

跟我们的关联

  • 对 ATou 意味着什么 这揭示了大客户采购中的真实游戏规则:产品力和价格竞争力往往不是决定因素,关键是能否通过人事网络和制度设计形成"不可替代性"。下一步可以思考:在自己的行业里,哪些关键决策者的职业轨迹与供应商高度重合,这是否形成了隐形的采购壁垒。
  • 对 Neta 意味着什么 这是一个关于"系统性激励失效"的案例研究。当部门预算与绩效脱钩、失败不会导致淘汰反而创造新的预算需求时,整个组织会陷入"维持复杂度以保饭碗"的陷阱。下一步可以审视:自己的团队里是否存在"救火组越来越强势"的现象,这是否意味着在复制小号德勤模式。
  • 对 Uota 意味着什么 这提示了 AI Agent 进入政务/金融等高价值市场的真实障碍:不是技术不够好,而是现有系统已经被巨头"烙"进了每个角落,替换成本极高。下一步的策略应该是:设计成"包在旧系统外面"的辅助层,从减少错误、欺诈、工时等可量化指标切入,而不是妄想一次性重做核心系统。
  • 对通用决策的意味 这是一个关于"合法的垄断比非法的腐败更难对付"的警示。当利益链条完全合法、参与方都能从现状获益、外部审计和舆论压力都无法改变激励结构时,系统会陷入"没人真想修好"的死局。下一步需要思考:如何在这种结构中识别出真正的改革机会,或者果断放弃这个市场。

讨论引子

  • 德勤的"旋转门"现象在美国政企市场是普遍规律还是特殊案例?其他四大咨询公司(埃森哲、普华永道、KPMG)与政府的人事流动模式是否类似,如果是,这说明什么?
  • 在"系统已被锁定、替换成本极高"的情况下,什么样的外部力量(舆论、监管、竞争替代)才能真正打破这种垄断,还是说这种局面本质上是不可逆的?
  • 如果你是某个州政府的 IT 采购决策者,在已知德勤历史失败率很高的情况下,你会继续选择它还是尝试替代方案?这个决策的真实成本和风险是什么?

咨询费用

你本不该听到“Deloitte(德勤)”这个名字,你也本不该知道:政府与他们合作,已经白白浪费了740亿美元。在不声不响之间,德勤成了美国政府 IT 系统最大的承包商之一,负责所谓的“建设”。医疗补助(Medicaid)登记。失业保险。儿童福利个案管理。食品援助资格审核。你每次与州政府的福利系统打交道,都很可能是在用德勤做出来的东西。

在为 somaliscan 搭建那套 6 亿行(而且还在增长)的数据库时,我翻遍了字面意义上的数百万张发票,有一个名字反复出现:德勤。加州那场让州政府损失 320 亿美元的失业金欺诈灾难?德勤建的。田纳西把 25 万名儿童从 Medicaid 上剔除?德勤建的。加州那个烧掉预算、耗资 10 亿美元最终被取消的软件项目?叮叮叮——德勤。

于是我决定深挖联邦合同、州合同、已记录的失败案例、诉讼、审计等等。我挖出了一个规模惊人的、价值 400 亿美元的“纳税人养殖场”。

数字

过去二十年里,德勤从联邦合同中拿到了约 300 亿美元,另外至少还有 100 亿美元来自各州。如果德勤向政府提供服务的表现不是烂到无可救药,这个天文数字也许还不成问题。但在他们提供服务的每一个州(共 25 个),都出现过严重的系统故障:错误地拒发福利,影响数十万人;欺诈漏洞让纳税人损失以十亿美元计;项目在被取消前开支超预算 5 倍。

可他们还在不停被政府雇用。

加州:德勤建设了加州就业发展部(EDD)用于处理失业救济申请的系统。新冠来袭时,该系统既扛不住申请量,也没有内置的欺诈检测。州政府在欺诈性申请上发出了超过 310 亿美元的款项。审计人员多年来一直警告这些漏洞,但什么也没做。而新冠之后,加州又重新雇了德勤来“修复问题”。

田纳西:在新冠之后的 2023 年,各州都必须重新核查 Medicaid 参保人是否仍然符合资格。田纳西州由德勤建设的系统故障到崩溃,由于系统错误处理,超过 25 万名儿童失去了医保覆盖。

CCMS(加州法院):2004 年,加州聘请德勤建设一套统一的法院案件管理系统。预算为 2.6 亿美元。到 2012 年,他们已经花掉 19 亿美元,并处理了 102 份变更单。州政府最终终止了项目。

而这样的故事还在不断累积:德勤拿下的每一份州级合同,背后都有一场或多场灾难性失败。

惯常嫌疑人

刚开始做这件事时,我以为会看到更显眼的腐败:一袋袋现金、利益交换、一次又一次的爆料。结果我看到的,可能更糟。

德勤每年在联邦层面的游说支出约 135 万美元。他们的政治行动委员会(PAC)在上一轮选举周期捐了 360 万美元,平均分给两党。州一级的捐款还有几百万。按华盛顿的标准,这些数字并不算大,还不足以直接买到结果。就花钱尺度而言,说实话甚至称得上克制。

问题在于:在德勤与那些发包合同的政府机构之间,存在着人员进出无门槛的“旋转门”。州卫生主管离开政府去德勤任职,德勤的经理又进入州政府 IT 部门。参与医疗政策的国会山幕僚也会出现在德勤。

请原谅我接下来要点名几位具体人物,好把这幅图景描得更清楚:

Seema Verma 在印第安纳州经营一家名为 SVC Inc. 的咨询公司。州长 Pence 支付给她 660 万美元,帮助设计印第安纳州(IN)的 Medicaid 扩展计划。2016 年 Trump/Pence 胜选后,Pence 把 Verma 带到华盛顿,任命她为 CMS 管理员,掌控联邦 Medicaid 资金,CMS。各州建设新的 Medicaid IT 系统时,CMS 会承担其中 90% 的成本。Verma 聘用了 Mary Mayhew,她在 CMS 只待了 3 个月,就在 Desantis 手下出任佛罗里达州 AHCA Sec.。Mayhew 监督了一份价值 1.35 亿美元的 Medicaid 合同,交给了德勤——也就是那家为佛州建设失业系统的公司;那套系统烂到新冠来袭时直接崩溃。德勤因此被罚了 800 万美元,随后却又拿到一份 1.35 亿美元的合同作为奖赏。合同批出仅数周后,Mayhew 就离开 AHCA,出任 Florida Hospital Association 的 CEO。她现在要替之游说的那些医院,其收入很大一部分来自……MEDICAID。Seema Verma 还促成了总额 2 亿美元的合同流向德勤。Jennifer Ungru 曾任 AHCA 的 COS,她离开后去领导 Desantis 的医疗保健过渡团队,随后又成了……德勤的游说者。Tom McCullion 是 DEO 的项目经理,曾为 CONNECT 选择德勤(这也是那 800 万美元罚款的原因)。他自己都说那套系统很差、不稳定。2019 年,AHCA 以每小时 155 美元的价格聘请 McCullion 做外包顾问,就 Medicaid 合同招标提供建议。他离开后 5 个月,德勤赢得了那份 1.35 亿美元合同。

类似我上面讲的故事还有一百个,你懂我的意思。说清楚一点:这并不违法。问题就在这里。德勤做政府花大价钱让它做的任何事,客观上都糟糕透顶。我无法理解:怎么会有人花 1 亿美元做一套 Medicaid 管理软件,或者花 10 亿美元做一套法院案件管理软件,最后却根本不能用——这简直不可思议。

这 740 亿美元由两部分构成:400 亿美元的合同金额,以及我估算的 340 亿美元直接损失;而这还不包括行政成本、医疗成本、欺诈、IRS 现代化、Texas energy fund failure 等因素。真正的浪费数字,很可能要高得多。

这条兔子洞远比我在本文披露的更深。德勤会竭尽全力维护他们的政府合同,继续从美国纳税人身上吸血。我花了很长时间想弄明白:为什么什么都不会改变?答案几乎令人沮丧——德勤的系统早已被“烙”进了每一个角落,像癌细胞转移到血液里,靠税金而不是葡萄糖为生。我手里确实有一些证据,可能暗示着回扣、利益交换等,但真相更棘手:没有哪个政府部门真的想去修复,因为税金还在源源不断地流入。

数据

我把我收集到的一切都放在 https://www.somaliscan.com/investigations/deloitte - 按州拆分的明细、按机构与年份整理的联邦合同、失败时间线、政治捐款、“旋转门”等等,全都在网上。

所有 CSV 文件都可下载,所有数据都能导出。我不知道该怎么解决这件事,但我知道需要更多人去关注,因为现在没人关注,而合同还在不断签下去。

链接: http://x.com/i/article/2013346433278070784

Consulting fees

You were never meant to hear the name "Deloitte" and you were never meant to know that the government has wasted $74 billion by working with them. Quietly, Deloitte is one of the largest contractors "building" American government IT systems. Medicaid enrollment, unemployment insurance, child welfare case management, food assistance eligibility. When you interact with a state benefits system, theres a decent chance Deloitte built it.

In building the 600m row (and growing) database for somaliscan, I sorted through literally millions of invoices, and once name continued to appear; Deloitte. California's unemployment fraud disaster that cost the state $32 billion? Built by Deloitte. Tennessee kicking 250,000 children off Medicaid? Built by Deloitte. The billion dollar software project in California that got cancelled after spending the budget? Ding ding ding, DELOITTE.

I decided to dig into federal contracts, state contracts, documented failures, lawsuits, audits, etc. I found a huge $40 billion tax payer farm.

The numbers

Over the past two decades, Deloitte has received roughly $30 billion in federal contracts and at least $10 billion more from states. This massive number wouldn't be an issue if Deloitte wasn't doing an irredeemably terrible job at providing the government with services. In every single state they've provided service (25) they had significant system failures. Wrongful benefit denials affecting hundreds of thousands, fraud vulnerabilities that cost the taxpayer BILLIONS, projects that ran 5x over budget before getting cancelled.

AND THEY KEEP GETTING HIRED BY THE GOVERNMENT.

California: Deloitte built the EDD system that processed unemployment claims. When COVID hit, the system couldn't handle the volume and also had no built in fraud detection. The state paid out over $31 billion in fraudulent claims. Auditors warned about the vulnerabilities for years, nothing was done. And after COVID, California RE-HIRED DELOITTE to FIX THE PROBLEMS.

Tennessee: After COVID in 2023, states had to re-check whether everyone on Medicaid was still eligible. TN's system, built by Deloitte, malfunctioned to a failure point and over 250,000 children lost coverage because the system processed them incorrectly.

CCMS (CA courts): In 2004, California hired Deloitte to build a unified court case management system. Budget was $260 million. By 2012, they'd spent $1.9 BILLION AND PROCESSED 102 CHANGE ORDERS. The state killed the project.

And the stories just keep adding up, across every single state contract Deloitte took, there are one or more catastrophic failures.

The Usual Suspects

I expected to find more obvious corruption when I started this. Bags of cash, quid pro quos, expose after expose. What I found is probably worse.

Deloitte spends about $1.35 million/year on federal lobbying. Their PAC gave $3.6m in the last election cycle, split evenly between parties. Theres a few million more in state-level contributions. These aren't huge numbers by DC standards, not enough to buy outcomes directly. Its honestly conservative in terms of spending.

The issue is the revolving door of government employees that move between Deloitte and the government agencies that award contracts. State health directors leave the government and join Deloitte, managers from Deloitte take up state IT departments. Hill staffers that worked on healthcare policy show up at Deloitte.

Forgive me as I dive into specific personnel to paint the picture:

Seema Verma ran a consulting company called SVC Inc. in Indiana. Gov Pence paid her $6.6 million to help design IN's medicaid expansion. When Trump/Pence won in 2016, Pence brought Verma to Washington as the CMS administrator controlling federal medicaid funds, CMS. CMS pays 90% of the cost when states build new Medicaid IT systems. Verma hired Mary Mayhew who lasted 3 months at CMS before becoming Florida's AHCA Sec. under Desantis. Mayhew oversay a $135 million Medicaid contract to Deloitte, the same company that built FL's unemployment system that was so broken it collapsed when covid hit. Deloitte got fined $8m for that, and was then rewarded a $135m contract. Mayhew left AHCA weeks after the contract was awarded to be the CEO of the Florida Hospital Association. The hospitals she would now lobby for are paid largely by...... MEDICAID. Seema Verma was also responsible for $200m in contracts going to Deloitte. Jennifer Ungru was AHCA's COS, left to run Desantis's healthcare transition team, then became... a lobbyist for Deloitte. Tom McCullion was DEO project manager who selected Deloitte for CONNECT (the reason for the $8m fine). He called the system poor and unstable. In 2019, AHCA hired McCullion as a $155/hour contractor to advise on medicaid contract bidding. He left and 5 months later, Deloitte won the $135m contract.

Theres a hundred stories just like those I covered, you get the point. To be clear, this is NOT illegal. Thats the problem. Deloitte is objectively terrible at doing whatever the government pays them way too much money to do. I cannot comprehend how you would spend $100 million building a medicaid management software or $1 billion on a court case management software that doesn't work, its inconceivable.

$74 billion comes from the $40 billion in contracts and my estimated $34 billion in direct losses, not including administrative costs, healthcare costs, fraud, IRS modernization, Texas energy fund failure, the real number of waste is probably significantly higher.

The rabbit hole goes much deeper than what I divulged in this article. Deloitte will fight very hard to maintain their government contracts and continue leeching off of the American taxpayer. I spent a long time trying to figure out why nothing changes, and the answer was almost depressing. Deloitte's systems are just baked into everything, a cancer metastasized into the bloodstream that feeds on tax dollars instead of glucose. I have a bit of evidence that might suggest payoffs, quidproquo, etc, but the truth is more difficult. Nobody in the government wants to fix it because the tax dollars keep flowing in.

The data

I've put everything I collected on https://www.somaliscan.com/investigations/deloitte - State by state breakdowns, federal contracts by agency and year, timeline of failures, political contributions, revolving door, etc etc all on the web.

CSV's all available for download, all data is exportable. I dont know how to fix this but I know more people need to pay attention because nobody is and the contracts keep getting signed.

Link: http://x.com/i/article/2013346433278070784

咨询费用

你本不该听到“Deloitte(德勤)”这个名字,你也本不该知道:政府与他们合作,已经白白浪费了740亿美元。在不声不响之间,德勤成了美国政府 IT 系统最大的承包商之一,负责所谓的“建设”。医疗补助(Medicaid)登记。失业保险。儿童福利个案管理。食品援助资格审核。你每次与州政府的福利系统打交道,都很可能是在用德勤做出来的东西。

在为 somaliscan 搭建那套 6 亿行(而且还在增长)的数据库时,我翻遍了字面意义上的数百万张发票,有一个名字反复出现:德勤。加州那场让州政府损失 320 亿美元的失业金欺诈灾难?德勤建的。田纳西把 25 万名儿童从 Medicaid 上剔除?德勤建的。加州那个烧掉预算、耗资 10 亿美元最终被取消的软件项目?叮叮叮——德勤。

于是我决定深挖联邦合同、州合同、已记录的失败案例、诉讼、审计等等。我挖出了一个规模惊人的、价值 400 亿美元的“纳税人养殖场”。

数字

过去二十年里,德勤从联邦合同中拿到了约 300 亿美元,另外至少还有 100 亿美元来自各州。如果德勤向政府提供服务的表现不是烂到无可救药,这个天文数字也许还不成问题。但在他们提供服务的每一个州(共 25 个),都出现过严重的系统故障:错误地拒发福利,影响数十万人;欺诈漏洞让纳税人损失以十亿美元计;项目在被取消前开支超预算 5 倍。

可他们还在不停被政府雇用。

加州:德勤建设了加州就业发展部(EDD)用于处理失业救济申请的系统。新冠来袭时,该系统既扛不住申请量,也没有内置的欺诈检测。州政府在欺诈性申请上发出了超过 310 亿美元的款项。审计人员多年来一直警告这些漏洞,但什么也没做。而新冠之后,加州又重新雇了德勤来“修复问题”。

田纳西:在新冠之后的 2023 年,各州都必须重新核查 Medicaid 参保人是否仍然符合资格。田纳西州由德勤建设的系统故障到崩溃,由于系统错误处理,超过 25 万名儿童失去了医保覆盖。

CCMS(加州法院):2004 年,加州聘请德勤建设一套统一的法院案件管理系统。预算为 2.6 亿美元。到 2012 年,他们已经花掉 19 亿美元,并处理了 102 份变更单。州政府最终终止了项目。

而这样的故事还在不断累积:德勤拿下的每一份州级合同,背后都有一场或多场灾难性失败。

惯常嫌疑人

刚开始做这件事时,我以为会看到更显眼的腐败:一袋袋现金、利益交换、一次又一次的爆料。结果我看到的,可能更糟。

德勤每年在联邦层面的游说支出约 135 万美元。他们的政治行动委员会(PAC)在上一轮选举周期捐了 360 万美元,平均分给两党。州一级的捐款还有几百万。按华盛顿的标准,这些数字并不算大,还不足以直接买到结果。就花钱尺度而言,说实话甚至称得上克制。

问题在于:在德勤与那些发包合同的政府机构之间,存在着人员进出无门槛的“旋转门”。州卫生主管离开政府去德勤任职,德勤的经理又进入州政府 IT 部门。参与医疗政策的国会山幕僚也会出现在德勤。

请原谅我接下来要点名几位具体人物,好把这幅图景描得更清楚:

Seema Verma 在印第安纳州经营一家名为 SVC Inc. 的咨询公司。州长 Pence 支付给她 660 万美元,帮助设计印第安纳州(IN)的 Medicaid 扩展计划。2016 年 Trump/Pence 胜选后,Pence 把 Verma 带到华盛顿,任命她为 CMS 管理员,掌控联邦 Medicaid 资金,CMS。各州建设新的 Medicaid IT 系统时,CMS 会承担其中 90% 的成本。Verma 聘用了 Mary Mayhew,她在 CMS 只待了 3 个月,就在 Desantis 手下出任佛罗里达州 AHCA Sec.。Mayhew 监督了一份价值 1.35 亿美元的 Medicaid 合同,交给了德勤——也就是那家为佛州建设失业系统的公司;那套系统烂到新冠来袭时直接崩溃。德勤因此被罚了 800 万美元,随后却又拿到一份 1.35 亿美元的合同作为奖赏。合同批出仅数周后,Mayhew 就离开 AHCA,出任 Florida Hospital Association 的 CEO。她现在要替之游说的那些医院,其收入很大一部分来自……MEDICAID。Seema Verma 还促成了总额 2 亿美元的合同流向德勤。Jennifer Ungru 曾任 AHCA 的 COS,她离开后去领导 Desantis 的医疗保健过渡团队,随后又成了……德勤的游说者。Tom McCullion 是 DEO 的项目经理,曾为 CONNECT 选择德勤(这也是那 800 万美元罚款的原因)。他自己都说那套系统很差、不稳定。2019 年,AHCA 以每小时 155 美元的价格聘请 McCullion 做外包顾问,就 Medicaid 合同招标提供建议。他离开后 5 个月,德勤赢得了那份 1.35 亿美元合同。

类似我上面讲的故事还有一百个,你懂我的意思。说清楚一点:这并不违法。问题就在这里。德勤做政府花大价钱让它做的任何事,客观上都糟糕透顶。我无法理解:怎么会有人花 1 亿美元做一套 Medicaid 管理软件,或者花 10 亿美元做一套法院案件管理软件,最后却根本不能用——这简直不可思议。

这 740 亿美元由两部分构成:400 亿美元的合同金额,以及我估算的 340 亿美元直接损失;而这还不包括行政成本、医疗成本、欺诈、IRS 现代化、Texas energy fund failure 等因素。真正的浪费数字,很可能要高得多。

这条兔子洞远比我在本文披露的更深。德勤会竭尽全力维护他们的政府合同,继续从美国纳税人身上吸血。我花了很长时间想弄明白:为什么什么都不会改变?答案几乎令人沮丧——德勤的系统早已被“烙”进了每一个角落,像癌细胞转移到血液里,靠税金而不是葡萄糖为生。我手里确实有一些证据,可能暗示着回扣、利益交换等,但真相更棘手:没有哪个政府部门真的想去修复,因为税金还在源源不断地流入。

数据

我把我收集到的一切都放在 https://www.somaliscan.com/investigations/deloitte - 按州拆分的明细、按机构与年份整理的联邦合同、失败时间线、政治捐款、“旋转门”等等,全都在网上。

所有 CSV 文件都可下载,所有数据都能导出。我不知道该怎么解决这件事,但我知道需要更多人去关注,因为现在没人关注,而合同还在不断签下去。

链接: http://x.com/i/article/2013346433278070784

相关笔记

Consulting fees

You were never meant to hear the name "Deloitte" and you were never meant to know that the government has wasted $74 billion by working with them. Quietly, Deloitte is one of the largest contractors "building" American government IT systems. Medicaid enrollment, unemployment insurance, child welfare case management, food assistance eligibility. When you interact with a state benefits system, theres a decent chance Deloitte built it.

In building the 600m row (and growing) database for somaliscan, I sorted through literally millions of invoices, and once name continued to appear; Deloitte. California's unemployment fraud disaster that cost the state $32 billion? Built by Deloitte. Tennessee kicking 250,000 children off Medicaid? Built by Deloitte. The billion dollar software project in California that got cancelled after spending the budget? Ding ding ding, DELOITTE.

I decided to dig into federal contracts, state contracts, documented failures, lawsuits, audits, etc. I found a huge $40 billion tax payer farm.

The numbers

Over the past two decades, Deloitte has received roughly $30 billion in federal contracts and at least $10 billion more from states. This massive number wouldn't be an issue if Deloitte wasn't doing an irredeemably terrible job at providing the government with services. In every single state they've provided service (25) they had significant system failures. Wrongful benefit denials affecting hundreds of thousands, fraud vulnerabilities that cost the taxpayer BILLIONS, projects that ran 5x over budget before getting cancelled.

AND THEY KEEP GETTING HIRED BY THE GOVERNMENT.

California: Deloitte built the EDD system that processed unemployment claims. When COVID hit, the system couldn't handle the volume and also had no built in fraud detection. The state paid out over $31 billion in fraudulent claims. Auditors warned about the vulnerabilities for years, nothing was done. And after COVID, California RE-HIRED DELOITTE to FIX THE PROBLEMS.

Tennessee: After COVID in 2023, states had to re-check whether everyone on Medicaid was still eligible. TN's system, built by Deloitte, malfunctioned to a failure point and over 250,000 children lost coverage because the system processed them incorrectly.

CCMS (CA courts): In 2004, California hired Deloitte to build a unified court case management system. Budget was $260 million. By 2012, they'd spent $1.9 BILLION AND PROCESSED 102 CHANGE ORDERS. The state killed the project.

And the stories just keep adding up, across every single state contract Deloitte took, there are one or more catastrophic failures.

The Usual Suspects

I expected to find more obvious corruption when I started this. Bags of cash, quid pro quos, expose after expose. What I found is probably worse.

Deloitte spends about $1.35 million/year on federal lobbying. Their PAC gave $3.6m in the last election cycle, split evenly between parties. Theres a few million more in state-level contributions. These aren't huge numbers by DC standards, not enough to buy outcomes directly. Its honestly conservative in terms of spending.

The issue is the revolving door of government employees that move between Deloitte and the government agencies that award contracts. State health directors leave the government and join Deloitte, managers from Deloitte take up state IT departments. Hill staffers that worked on healthcare policy show up at Deloitte.

Forgive me as I dive into specific personnel to paint the picture:

Seema Verma ran a consulting company called SVC Inc. in Indiana. Gov Pence paid her $6.6 million to help design IN's medicaid expansion. When Trump/Pence won in 2016, Pence brought Verma to Washington as the CMS administrator controlling federal medicaid funds, CMS. CMS pays 90% of the cost when states build new Medicaid IT systems. Verma hired Mary Mayhew who lasted 3 months at CMS before becoming Florida's AHCA Sec. under Desantis. Mayhew oversay a $135 million Medicaid contract to Deloitte, the same company that built FL's unemployment system that was so broken it collapsed when covid hit. Deloitte got fined $8m for that, and was then rewarded a $135m contract. Mayhew left AHCA weeks after the contract was awarded to be the CEO of the Florida Hospital Association. The hospitals she would now lobby for are paid largely by...... MEDICAID. Seema Verma was also responsible for $200m in contracts going to Deloitte. Jennifer Ungru was AHCA's COS, left to run Desantis's healthcare transition team, then became... a lobbyist for Deloitte. Tom McCullion was DEO project manager who selected Deloitte for CONNECT (the reason for the $8m fine). He called the system poor and unstable. In 2019, AHCA hired McCullion as a $155/hour contractor to advise on medicaid contract bidding. He left and 5 months later, Deloitte won the $135m contract.

Theres a hundred stories just like those I covered, you get the point. To be clear, this is NOT illegal. Thats the problem. Deloitte is objectively terrible at doing whatever the government pays them way too much money to do. I cannot comprehend how you would spend $100 million building a medicaid management software or $1 billion on a court case management software that doesn't work, its inconceivable.

$74 billion comes from the $40 billion in contracts and my estimated $34 billion in direct losses, not including administrative costs, healthcare costs, fraud, IRS modernization, Texas energy fund failure, the real number of waste is probably significantly higher.

The rabbit hole goes much deeper than what I divulged in this article. Deloitte will fight very hard to maintain their government contracts and continue leeching off of the American taxpayer. I spent a long time trying to figure out why nothing changes, and the answer was almost depressing. Deloitte's systems are just baked into everything, a cancer metastasized into the bloodstream that feeds on tax dollars instead of glucose. I have a bit of evidence that might suggest payoffs, quidproquo, etc, but the truth is more difficult. Nobody in the government wants to fix it because the tax dollars keep flowing in.

The data

I've put everything I collected on https://www.somaliscan.com/investigations/deloitte - State by state breakdowns, federal contracts by agency and year, timeline of failures, political contributions, revolving door, etc etc all on the web.

CSV's all available for download, all data is exportable. I dont know how to fix this but I know more people need to pay attention because nobody is and the contracts keep getting signed.

Link: http://x.com/i/article/2013346433278070784

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