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Major Nidal Malik Hasan, the gunman who killed 13 at America's Fort Hood military base, once gave a lecture to other doctors in which he said non-believers should be beheaded and have boiling oil poured down their throats.
One Army doctor who knew him said a fear of appearing discriminatory against a Muslim soldier had stopped fellow officers from filing formal complaints.
But General George Casey, the Army's Chief of Staff, said it was "speculation" that military authorities failed to pick up on warning signs. "I don't want to say that we missed it," he said.