A feeble beginning (1983-1990) -- 1. A contentious start, buck passing -- 2. The prism of the U.S. experience, absence of leadership -- 3. A maverick goes to Geneva, turf wars -- Quiescence (1990-1996) -- 4. Voices in the wilderness, race and space -- 5. No advocacy from above, no groundswell from below -- 6. The Clinton enigma, bunker and hunker down -- An awakening of sorts (1996-1999) -- 7. Drugs change the landscape, a mission crystallizes -- 8. The clash, a forum -- 9. Evidence-based advocacy, start the press -- Opportunities squandered (1998-2000) -- 10. Continental abdication, the ultimate crutch -- 11. A failure to recalibrate, turf and neglect -- 12. A foiled plan, "too little, too late" -- A great awakening? (2001-2003) -- 13. A bleak outlook, finally--a vehicle -- 14. Righting the response, getting religion -- 15. Behind closed doors, coalescence.