WASHINGTON – During his immersion in his new job, Gil Kerlikowske attended a focus group of 7-year-old girls and was mystified by their talk about “farm parties.” Then he realized they meant “pharm parties” – sampling pharmaceuticals from their parents’ medicine cabinets. What he learned – besides that young humans have less native sense than young dachshunds have – is that his job has wrinkles unanticipated when he became director of the Office of National Drug Control Policy.

“People,” he says, “want a different conversation” about drug policies. With his first report to the pres...

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