The startling, unprogrammed, and rebellious discussion about drugs that took place among hemispheric leaders in April at a summit in Cartagena, Colombia, barely mentioned addiction, because it’s too late for that. The discussion that for the first time in forty years challenged the United States’ dominance on drug issues focused urgently instead on the ways that the financial health, political stability, and national security of virtually every country in the Americas has been undermined by the drug trade.