EDITOR—In their editorial on why Britain's drug czar must not wage war on drugs Strang et al strongly advocate a pragmatic approach by the government to the national and international drug problem.1 In doing so they seem keen to protect the relative medical autonomy in treatment of addicts afforded by the “British system.”2 They call for a maintained emphasis on evidence based treatment, rehabilitation, and preventive strategies and quote the success of the needle and syringe exchanges, as well …