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Analyst's note:  Absolutely must read.  The growing concern discussed in this article is that Islamist jihadist will reasonably target American hospitals as a part of their growing soft-target list using a “Mumbai like attacks.”  Such attacks from small cells are much simpler to plan, fund, and execute than one huge, centrally planned attack.  This is especially true for a jihadist force that actually wants to die in the process of killing as many as possible.  Considering that even if their cell's attack fails and they die in the process, for the jihadist that operation is considered a "win-win" situation ... 72 virgins, etc. 

Under such a targeting scheme, this article clearly points out that our hospitals are not “safe havens.”  Currently hospitals can reasonably be viewed by the jihadist enemy as a self-contained "shooting gallery."  Details are provided in this article on increasing violence in one mid-west hospital emergency room facility.  In one month’s activities to ferret out weapons, this one hospital captured over "[...] 500 weapons capable of inflicting irreparable damage to a human body [...].  

We have reported on the growing "[...] Hezbollah involvement and influence in the drug wars in Mexico" and through much of S. America.  Mexican drug gangs are even now using IEDs.  We have also frequently reported that the lack of U.S. border security is permitting a flow of Islamist jihadist who then are likely establishing small, operational cells from which the attack on this nation will be launched.  Operating with this modular approach the enemy can plan attacks to kill and maim that is harder to detect and will create less operational risk for their forces.

"Planning attacks which require large numbers of participants using sophisticated weapons are by their own nature risky. Past plots which were too ambitious, adding one more plane to a series of aircraft attacks, led to the undoing of the entire operation.
 
The changing face of terrorism is accompanied by changes in strategy and increases in the number and location of those who would do us harm. Open source information has revealed these evolving changes for years. 

[....] The threat of a small group of terrorists storming soft targets, with or without insider help (but with a real probability of such help), has been a concern for years.
 
[....] International terrorists may have to queue up behind a long list of folks already in the country. Years of failure to protect the nation's borders has allowed for the uncontrolled flow of potential terrorists to set up cells across the United States. In their book Lightning Out of Lebanon, Tom Diaz and Barbara Newman reveal a tale of almost twenty years of infiltration of Hezbollah groups into the U. S. These groups are well organized and have a well developed network of cells engaged in profitable illegal tobacco smuggling activities.
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