While Latin America insists that policy change must be the focus of a coordinated global effort, the region seems bent on advancing reform, with or without international support. “We have systematically called for ample discussion on these matters on the international stage, but we have only found obstacles. Ultimately, Latin America has the autonomy to advance measures that we feel are most pertinent for our citizens,” says Julio Calzada, secretary general of Uruguay’s National Committee on Drugs.