From The Middle East Eye:

It [the Samson Option] is in stark contrast, say analysts, to the doctrine of Mutually Assured Destruction (MAD), where if one nuclear power pre-emptively attacked another, then the targeted nation would still have time to retaliate, ensuring neither would survive.

I must be missing something important. I don’t understand why the Samson Option is “in stark contrast” to MAD. I mean, everyone still dies, so they seem pretty similar to me.