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The book delves into the historical context of cocaine in America, tracing its evolution from a common ingredient in medicines to a regulated substance. It critiques U.S. drug control policies, particularly those aimed at source countries like Bolivia, Peru, and Colombia, highlighting their limitations and economic impacts. The author argues against the belief that strict source control can eliminate cocaine use, advocating instead for strategies that acknowledge the challenges of interdiction and eradication while proposing more effective approaches to drug policy.