Every year or so, we have a major fossil fuel disaster in the US, like the 2008
spill into the Clinch River in Tennessee. Or the 2014
spill in the Dan River in North Carolina. Coal ash is pretty awful stuff, and it's radioactive too (similar to the majority of nuclear waste projects and also similar to what's found in an average cigarette (smoke one, you're inhaling radioactive garbage like polonium).
For all its problems, if "Big Nuclear"--I've read books which seem like pure propaganda from the nuclear industry--was as strong as "Big Oil" or even "Big Coal" and "Big Natural Gas" (when I was in college a few years ago, some company was sponsering advertising about how natural gas was the future and all the benefits of it all over my school's campus), then we'd be in a far, far better place. I'll take potential radioactive contamination (but see Ramsar in Iran for background radiation and what it does) over destroying rivers.
Ultimately it's a matter of human stupidity. Nuclear power has high costs associated with it and requires subsidies. So does solar power but we're told that's the future (and we ignore how China, the main manufacturer of solar panels, has made insane amounts of toxic waste in making solar panels). Yet with nuclear power--anyone in the wake of 3MI is supporting modern reactor designs--all you have is the damage uranium mining causes. Or at worst, Fukushima.
Deregulation would have done well decades ago, but to this day, the cost of building a new plant is still insanely expensive, at least in the US (ideally we should fix that). And nuclear plants are by design baseload plants. The best way is thorium power, I think. We could mine our own rare earths (see Lemhi Pass) at no greater cost than any other major mine, and also mine a ton of thorium which we'd use to fuel our nuclear plants. Thorium could also make our nuclear weapons (this is the Cold War after all), since thorium plants can "breed" certain isotopes used in nuclear weapons.
Ideal situation is a fission future--energy surplus--with reactors transmuting some of the nuclear waste into precious metals (ruthenium, rhodium, etc.) and the rest into fuel for RTGs.
Pretty much the environmentalists shot themselves in the foot and left the future of energy to fossil fuels and expensive solar/wind/renewables. It isn't surprising "yellow environmentalism" became a thing, but yellow environmentalism was never strong enough to be a good advocate for nuclear power. Like how instead of damming a river, they should build a nuclear plant instead--that's what "yellow environmentalism" could have done.
I wonder if a turn to Thorium Reactors could be made. It'd certainly do wonders for Appalachia once coal starts to decline, due to the Thorium deposits there that can be mined instead.
In Tennessee, coal mining still exists as it has for over a century. Except now, all Tennessee coal is exported to China (and IIRC the rest of Asia), since it's too dirty to be used in the US. This is true with some other coal mines in Kentucky and West Virginia too. Not sure of rare earths in Appalachia. Lemhi Pass on the Idaho-Montana border has a huge amount of rare earths. And it's known that Iran and India have a lot of rare earths too. US sponsered rare earth/thorium projects there would be vital in the Cold War and ideally prevent the Iranian Revolution.