This final chapter revisits the book’s main argument and discusses the main findings and implications. It begins by summarizing its theory about the sustainability of patronage contracts that exchange public sector jobs for political services without a need for punishment or reciprocity and the main empirical findings that support the theory. It then discusses the theory’s implications for our understanding of patronage employees’ motives and behavior, as well as of clientelistic exchanges more broadly. Following this, the chapter discusses the likelihood of curbing clientelism if the theory of self-enforcing patronage advanced here is correct. The chapter concludes with a discussion of the particularly damaging effects of patronage for the quality of democracy and equal access to the state.