Improper irrigation can even lead to salts rising up to the soil surface and making it permanently infertile barring major earth works. Falling water tables can allow the ground to compress (now-empty pores deflate) and significantly lower the ground's ability to carry groundwater (as has happened in California).
Some damage is permanent, and we were not capable of the worst back then.
Further, repression also make the equivalent of a Clean Air Act hard. The pattern currently is the central authorities issue a call to protect the environment (usually kind of ad-hoc) but local authorities ignore it and no one can complain because all the authorities are beyond criticism.
Just like the way you have the President start an anti-corruption campaign but the President's cronies exempt.
China boosters for years said these problems didn't matter. Maybe they didn't matter for those years but now, they are here in spades.
China's going to get their Clean Air Act. Just give it some time.