"The Islamic State’s suicide bombing campaigns have changed in character in several ways over the last decade. Whereas the majority of perpetrators in this theater were once foreign immigrants to Iraq, today local Iraqis and Syrians conduct the majority of attacks. A decade ago, the Islamic State movement largely hit lightly defended civilian targets for maximum psychological and sectarian effects; today, they target conventional Iraqi military and police tactical units on the forward line of troops. Finally, Islamic State suicide bombing in the past was primarily a tool used to achieve strategic effects at the national, regional, and international level. In the recent caliphate period, with the Islamic State controlling and defending territory, suicide bombing has been marshaled for use in the operational realm, taking the form of coordinated counterattack waves against attacking forces."
As in Vietnam, our military command structure isn't designed for rapid change in tactics and strategies. We are becoming more nimble under Mattis, but have a long way to go.