Conditional Cash Transfers (CCTs) in Latin America has been marked by a closed top-down process led by coalitions of politicians and technocrats who have chosen patronage relationships as the most convenient interaction with beneficiaries of social programmes. The existence of this type of relationship forces beneficiaries to take part in long-term political alliances in exchange for economic benefits. What seems to be a symbiotic relationship for the parties ultimately can have negative consequences in terms of democratic values and a financial opportunity cost to implement more efficient social investment. The more the exchange persists, the more permanent welfare dependency will prevail in the region.