Truman had fought in WWI (he was the only major Allied war leader who did). Although he was not generally seen as an imaginative man, he would have been vividly aware of the ordeal awaiting American soldiers if they had to invade Japan. He would also have been conscious that the US public would never forgive him if they found out that he had the bomb but didn't use it to save those soldiers' lives.
So he gave the orders and the bombs fell, adding a last 250,000 lives to that 60 million death toll. But five-and-a-half years later, when US forces in Korea were fleeing south after Chinese troops intervened in the war there ("the big bug-out"), Truman behaved quite differently.
It may or may not be true that US General Douglas MacArthur, who commanded the United Nations troops in Korea (including 300,000 Americans), wanted to drop atomic bombs on China's Manchurian provinces to cut the supply lines of the Chinese troops in Korea.
It is certainly true that Truman fired MacArthur and did not use nuclear weapons even though thousands of American troops were being killed or captured.
Truman never explained his decision, but one possible reason is that actually seeing what nuclear weapons do to human beings (which nobody had yet seen when he made his 1945 decision) may have changed his view of them. They were not just another new weapon. They were the ultimate weapon, and they must not be used. And the other reason is obvious.
By late 1950, the United States had between 50 and 100 nuclear weapons - but the Soviet Union had tested its first atomic bomb the previous year, and by then it already had at least half a dozen of the things. The era of mutual deterrence had arrived.
Truman didn't know for certain that the Soviet Union would go to war if the US dropped nuclear weapons on China. He would have been fairly certain that the Russians didn't yet have the ability to drop even one on the United States, although they could definitely hit America's allies in Western Europe. But it didn't matter: once both sides have nuclear weapons, they get a great deal more cautious.
In the following decades, many military theorists have worked hard to come up with strategies that would make nuclear weapons useful in war, and many scientists and engineers have worked on new techniques and technologies that would achieve the same objective. But nobody has ever had enough confidence in their promises to use even one of these weapons in a war.
The number of nuclear weapons in the world (many of them much more powerful than the Hiroshima and Nagasaki bombs) peaked at around 50,000 in the mid-1980s, and has since fallen to about 15,000. The US and Russia still own 93 per cent of them, but seven other countries now have nukes too - and still nobody has used one in war.
It is also true that no great power has fought any other great power directly for 70 years, which is certainly a first in world history. Is this because the two world wars had been so destructive that they created institutions like the UN Security Council to avoid another, or because they knew that great-power wars would probably be nuclear wars?
Probably both, but at any rate we're making progress.
Gwynne Dyer is an independent journalist whose articles are published in 45 countries.