This report examines how global drug control systems perpetuate colonial and racial power imbalances through financial aid, technical assistance, and material support from high-income to low- and middle-income countries. It documents the influence of donor states in shaping punitive drug regimes, including law enforcement training, prison expansion, and abstinence-based education campaigns. The report highlights links between drug enforcement, mass incarceration, and land and resource dispossession, while contrasting these with evidence of the cost-effectiveness of harm reduction. It concludes with recommendations to redirect funding toward health- and rights-based approaches to dismantle discriminatory global drug control structures.