A Framework for Action: A Four Pillar Approach to Drug Problems in Vancouver leaves the author of this review, Jan Skirrow, seriously conflicted. According to Skirrow, the Framework is a useful document and reflects well on those who prepared it, but skips over the hard issues by agreeing that drugs are the problem, and then moving on to repackaging the failed program approaches of the past. This, Skirrow says, is not the fault of those who participated in the planning exercise leading to the Framework. Rather, it results from a lack of courage on the part of society's policymakers.