"Cocaine and Heroin Trafficking in the Caribbean" exposes the nature and structures of illicit drug trafficking in the Caribbean. A complex reality is presented which is built upon the lies and deceptions of the war on drugs, the complicity of the elites of the Caribbean with the illicit trade and the failure of the agencies charged with interdicting the illicit trade in the Caribbean. The escalating levels of societal violence, instability, of crime and the stark contrasts of opulence in the midst of grinding poverty all linked to the illicit drug trade are dealt with. The underlying reality of failed states that facilitate illicit drug trafficking in the Caribbean with a future of violence and instability is the dominant reality of the Caribbean in the 21st century exposed and explained in this text.