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It was an electrifying time to be in China. The economy was opening up to Western businesses, and Chinese students flew off by the hundreds of thousands to get a first-class education in the United States. China’s burgeoning and largely uncontrolled internet was bursting with entrepreneurial talent…

A few days later, D’Emidio, the partner in charge of the ICE project, sent a mass email of his own. Subject: “Call for reconciliation and healing.”

In bullet points, he wrote of his deep sympathy “for those of you whose families and friends live in fear of my client,” as well as guilt “for havin…

He laid out his recommendations in bullet points. Among them: a demand that McKinsey make a public apology for working for ICE and “stop saying we would do this work again.” Another: “Stop using legality as the barometer for ethicality.” On this, he was particularly biting, adding a parenthetical p…

Reading the article, Elfenbein knew that McKinsey was in conflict with what was until then the defining arc of his life. His fiancée—Elfenbein was days away from his wedding—was blunt. “If you don’t quit right now, you don’t stand for anything,” she said.

To increase its visibility, McKinsey set up the Center for U.S. Health System Reform “to track and model the impact of regulatory change on market and consumer dynamics.” The center is unambiguous about its target audience. “We support investors—including strategic buyers and private equity—to unde…