I have seen it firsthand in the CS department here at Dartmouth. It is bad. We're currently designing a new intro systems curriculum, and we're thinking of it as an adversarial problem. That is, we're designing the course to ensure that a student optimizing for the best grade per unit work still meets our learning objectives. That means, as everyone else is saying, paper exams, but also 1-on-1 interviews to check tha…
There are dozens for every one who didn't get the opportunity to attend an Ivy. The penalty for cheating should be automatic expulsion. I'll note as a hiring manager the college degree won't be worth shit unless the school can show their students have any integrity.