Despite counternarcotics efforts over the past decade, Afghanistan’s drug trade continues to thrive. This article is a review of US counternarcotics policy in Afghanistan, focusing on the inner workings of the bureaucratic machine. During the Bush Administration’s two terms in office, unique agency cultures ensured that no common conception or understanding of the drug problem manifested within the US foreign policy bureaucracy. Various US agencies and officials pursued separate eradication and interdiction policies, and there was similar disagreement in respect to the Alternative Livelihood Program. Consequently, the United States failed to pursue a counternarcotics program that was united, effective, or reflective of Afghanistan’s needs.