This report demonstrates how U.S. assistance has supported and expanded destructive and deadly anti-drug responses in low- and middle-income countries around the world.  It also presents new follow-the-money data analysis on U.S. international drug control spending by various government departments and budgets. This includes official development assistance (ODA) intended to support poverty reduction and other global development goals; and three case studies – Colombia, Mexico, and the Philippines – to reveal the damage done by this spending.