When Gov. Patrick Morrisey stood before cameras to announce his Rural Health Transformation initiative application, he framed it as a bold step toward modernizing care for West Virginians. He spoke of progress, innovation and the opportunity for new federal dollars.

What he did not speak of -- and what was intentionally absent from the announcement -- was one critical fact: The state had quietly signed into contract to pay McKinsey & Co. $1.9 million for just six weeks of “work.” It was the very work he was publicly celebrating.

The public's right to know was not just overlooked; it was completely disregarded. McKinsey’s involvement was never mentioned, never acknowledged, never listed in any media materials, and it was not disclosed during the rollout. Instead, the public learned of the

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