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The report analyzes the potential consequences of a terrorist attack at the Indian Point nuclear power plant, arguing that current 10-mile emergency planning zones are inadequate. Using the MACCS2 computer code, the author estimates that a successful attack could result in up to 44,000 near-term deaths and 518,000 long-term cancer deaths within 50 miles, with economic damages reaching $2.1 trillion. The analysis highlights that residents of New York City are at significant risk, particularly children who may require potassium iodide (KI) to prevent thyroid cancer, and suggests that sheltering may be more effective than evacuation for those outside the immediate 10-mile zone.