Significant societal interests have been advanced in support of employee drug testing. Testing may increase employee safety and efficiency, enhance the perceived integrity of an employer, and augment drug law enforcement efforts by reducing demand for drugs. The individual interests implicated by drug testing also are formidable. Urine collection procedures are highly intrusive and violate normal expectations of individual privacy. Moreover, tests may be inaccurate, falsely implicating innocent individuals; and they reveal a broad array of private information, such as pregnancy or medication for a psychological condition, that are not the legitimate concern of employers. The U.S. Supreme Court recently granted certiorari on two drug testing cases: National Treasury Employees Union vs. Von Raab, and Railway Labor Executives Association vs. Burnley. If upheld, drug testing without individualized suspicion will represent the first instance in which individual interests are subordinated to societal interests to a previously unheard of extent and without sufficient justification. Permitting the Government to monitor citizens' bodily fluids in order to supervise their activities represents a reduction of individual rights that should not be permitted without a more exacting scrutiny than drug testing can withstand. 292 footnotes.