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Pakistan has had a death wish for years. They keep trying to wrestle Kashmir from India and India will never let it happen. To achieve this unreachable goal, Pakistan is willing to have itself destroyed. Tens of millions may die for this stupidity.

The other effects:

1) The threshold for using a nuclear weapon will significantly drop.
Tactical nuclear weapons use will not seem nearly as bad since only a few thousand might be killed rather than the 50 million that die in the India-Pakistan exchange of 2002 (hypothetical future rationalization)

2) The non-proliferation treaty will become just another piece of paper.

3) S. Korea, Japan, Taiwan, Germany, Scandinavia, Argentina ... pretty much any industrialized country with a nuclear reactor will become a nuclear power as fast as possible.

The leftist paradigm allows the weaker Pakis to attack India without penalty, while India must show "restraint". India appears well past restraint at this stage. Add to that the muslim 'humiliation' issue, so that the Pakis feel obligated to respond to the Indian build-up. India attacks conventionally, Pakistan respond conventionally, but is soon overwhelmed. Some Paki field commander, about to be overrun, resorts to nukes (Paki C&C is notoriously bad - Musharraf claims he has no control, doesn't know where the nukes are). India responds in kind, heavily. Total elapsed time: 3-5 minutes. The World's Shortest and Deadliest War.

If the Pakis simply backed away from the border and put away their toys, world pressure on India to do likewise would be impossible to ignore. However, that would be 'humiliating' to the Pakis, so it doesn't seem likely. The US could put its troops in harms way. That would stop the Indis, but not the Paki terrorists. If India pulls back, the Paki fundamentalists would see that as a sign of victory and redouble their efforts. A "Mexican Standoff" of sorts.

I find it amazing how acceptable it has become to speak about the inevitabilty of the use nuclear weapons. Is it ok to champion the right to life for the unborn on one hand and not raise a voice in protest against the possible death of millions? Conservatives and freepers share the same world as Paks and Hindi. As wishful as it may be to see these trouble spots eliminated or to solve the Islamic problem with a push of the button, can we afford to sanction this or look away as a nation under God. As Centurion2000 pointed out, the threshold for use of nukes may well become reduced, and if so, will American soil and citizens become any safer?