The Andean region is teetering on the verge of collapse, and the implications are serious for the security of the United States and the Western Hemisphere. Recent U.S. policy in the region has narrowly concentrated on the drug war in Colombia, though after 9/11 it added a strong anti-terrorism component. Although the drug policies have produced some positive results, this limited impact falls far short of the region's needs. The U.S. focus on drugs in Colombia largely has neglected the other countries in the region. Venezuela is a powder keg ready to blow. Ecuador is plagued by habitual instability. Although strong economically, Peru is adrift politically. Bolivia could erupt again. In short, the prospect of regional collapse is real. [continues 709 words]