This chapter draws upon and extends a series of attempts to question the role and effects of managerialism in public sector organizations. It exam ines some of the social and moral costs of managerialism. It looks at the dark side of the new relations and new organizational forms which managerialism brings into play. I shall paint a grim picture, but some grim ness is necessary in order to counter the powerful common sense of the dis course of managerialism. I am not asserting simple 'truths' here; rather, I intend to explore some complex paradoxes.