Harry S Trumen, the man who should never have been anything let alone President, became through sheer accident the most influential president of the post-war era. The decision he took would, shape US and thus world policy for the rest of the century.
It is interesting that it is one decision that he did not take that shaped the world more than any, when in 1951 he refused General MacArthur request for nuclear strikes against Korean and Chinese targets on a plan made by the USAF's Strategic Air Command. MacArthur was no blood thirsty war mongerer, he had opposed the atomic strikes against Japan in WWII. Fast forward 6 years and the roles were reversed.
This raises an interesting what if? Suppose Truman had allowed the USAF plan to go ahead? It was not unlikley that he would have afterall, this is the man who had ordered Hiroshima, and he had not suffered a crisis of conscience since, he had threatened to use nukes during the Berlin blockade.
By refusing MacArthurs request, Truman the man who let the nuclear genie out of its bottles, not exactly put it back, but restricted it, creating the nuclear taboo, that has been maintained since, whereby niclear nations have avoided the use of their arsenals even when it made mulitary sence.
How would the unleashing of SAC have altered history, both in the near and long term? These points need to be discussed.
-THe effects on the war itself; would there have been USSR intervention, the Sovs had nukes by then, but no delivery system to get them to the US.
-The effect on China of the 100 plus strikes SAC had planned.
- The employment of nukes in other wars, such as Suez or Vietnam, would nations be more willing to employ them and actually do so, the elimination of Cairo or Hanoi for instance
-Would there even have been a Vietnam, since Ike may not have refused premission for attacks by the French as he did historically, if Truman had no refused in Korea.
-Could they have been used by the Sovs in Afghanistan?
You presume that Truman let MacArthur have his way in this discussion. The merits of such a decision is not under scruitny, its effects are.