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This book questions the belief that patronage explains poor governance and weak organizations. Its focus is on high-level political appointees in the Philippines, but its implications for development processes and policy are far-reaching. Patronage stimulates the emergence of democracy and welfare, and constitutes formal organizations. So intimately connected is it with the health of democracy and effective organizations that attempts to eradicate patronage only harm social, organizational and democratic life. In developed societies this has meant a growing Puritanism interspersed with bouts of corruption and moral panic; and, as they seek to maintain effective organizations and vibrant democracies, a mounting desire to project their own anxieties and imperfections onto developing countries.