The document highlights the significant losses advertisers face in the digital media ecosystem due to fraud and hidden costs, including wasted ad dollars and revenue diverted through practices like domain spoofing and invalid traffic. It stresses that much of the media spend does not translate to effective ad delivery, leading to concerns about measurement manipulation and attribution scamming. Ultimately, it underscores the pervasive nature of fraud that consumes advertising budgets, suggesting that only a fraction of digital ad spend is productive.