A pre-emptive strike would prove North Korea right and throw politics into chaos for decades, for all you know they may just be beating their chest to try and negotiate better terms for themselves. If you strike at them first and they really do have H-bombs they not only could retaliate in a destructive manner but in a political sense they'd argue that they're defending themselves, the's also the issue that such a conflict will also empower the west's problems in the militant groups they're still battling.