There wouldn't be a Middle East.
I'm not so sure.
Who would we nuke, the Saudis, the Afghans,Iraq, the PLO?
Unless a country attacks us with WMD we are pretty much fresh out of targets to strike back at.
Thats why the Feds are desperate to find a domestic perp for the Anthrax attacks, we have been attacked with bioweapons by foreign terrorists and have had to let it slide.
If a nuke was slipped into New York harbor tomorrow in a shipping container and detonated, killing 200,000 people, who would we nuke in response if no nation took responsibility?.
Thats the main reason the ragheads must never be allowed to get the bomb.