And then what is left would have to face the fourth horsemen of the Apocalypse; carrying famine, disease, pestilence.
Oh and conventional warfare would occur as well.
Nor would all of those warheads will detonate, land on target (some will hit and target the ocean) or launch successfully.
> But full scale nuclear war would eliminate North America,
I doubt it. Maybe you're being hyperbolic here, to whit.
If you eliminate the top 20 US ports, the aircraft carriers and a couple military bases (including Washington DC), you have destroyed modern USA but you do have to wait out the sub launches and miscellaneous hidden missile silos. There's little point to sending nukes to Montana, Kansas, etc. Nothing more (probably a lot less). Show me something that asserts anything more is necessary.
You don't eliminate land and population you dont have to, to win a war. Mad-max wastelands are hyperbolic fantasy that ignore basic human agency, imo. Country X isn't scared of refugees or natives of Louisiana forming an invasion force to retaliate so there's no reason to wipe out the land. Again, misfires happen and nuclear fallout is bad for everyone, but that's not the same thing as "eliminating" NA.
80s Russia is not really a good predictor. I simply disagree with both the reasoning and conclusion which has radically changed with technology and revelations about capability between all nations.
I think this kind of proliferation scenario vastly overestimates how many targets any country will bother to target. Aiming at neighbors makes a lot more sense than attacking countries overseas in full scale nuclear war today.
Civilization would look very different for sure.