[rbehrends]

Two problems I'm having with this argument:

(1) This does not actually look particularly targeted to me, but more like a shotgun approach. While Russia and China are the primary targets, there are also plenty of allied nations on that map. Unless, of course, you're trying to say that all non-US targets are fair game.

(2) The NSA targeting medical institutions (presumably hospitals) makes me particularly queasy, because what they are doing is not exactly passive listening, and when they screw something up there (like the router in Syria that they crashed), that could endanger human lives.