My thoughts tend to range around how much more fragile society is today compared to the mid 80's when the game was written and the late 90's when the nuclear exchange takes place as opposed to the how it actually starts.
America doesn't manufacture much of our own critical infrastructure needs any more. In the 80's there were still some factories around. Even here in the SF Bay Area there were some local farms. Now not only are most of those factories and farms gone the population has grown to a point where there is no way you can feed people without modern petroleum based agriculture.
Throw in a population that has no living memory of doing things with out electricity, computers, internet, oil, etc the outcome is doubtful.
Heck even the number of libraries or bookstores with information is markedly reduced.
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