I'm sure he considers the impact of the decisions along with the clients he works for.
You are right that other less tangible aspects can be impacted in unforeseen ways. But that has nothing to do with the decisions of business people or MBA's. It has to do with leadership and corporate culture.
But just doing so to optimize solely on cost might be a local maxima. You might impact other less tangible aspects/dimensions/parameters of the business in a negative way, and usually other people have to suffer at the hands of MBA's decisions.