Listen to a debate among drug policy advocates and you're likely to hear impassioned claims about the brilliant success (or dismal failure) of more "liberal" approaches in certain European countries. Frequently, however, such claims are based on false assumptions. For example, we are told that marijuana has been legalized in the Netherlands. Or that addicts receive heroin by prescription in Great Britain. Pruned of erroneous or excessive claims, the experience in Europe points to both the feasibility of successful reform of US drug laws and the drawbacks of radical change. What follows are descriptions of some innovative approaches being tried over there, with judgements of their applicability over here. They fall into three broad categories: eliminating user sanctions (decriminalization), allowing commercial sales (legalization) and medical provision of heroin to addicts (maintenance). [continues 2109 words]