I think we need to be more critical of what it means to see things "first hand". MBB are typically operating at the executive level and the motivations between executives decisions typically don't reach the "rank and file" of the organization (forgive the wording). In my response I mentioned that the cost of engaging McKinsey is so extremely high that there will need to be some type of rational justification for bringing them in (beyond just covering my ass).
That being said, I worked on a few projects where I wasn't sure whether the cost justifies the benefits but this was largely due to incompetence or overselling - never "pure graft".