I thought it was interesting how detonations in the USSR would be followed by detonations in the US (or vice versa), almost like they were communicating using their bomb tests ("Yeah, we saw your test... now watch this!").
As for cancer rates, nobody knows about the effects of the above ground tests.
I'm sure you know this already, but the 1956 movie "The Conqueror" was filmed near a nuclear test site (I'm not sure how close exactly, but I would say "too close"). Of the 200 people who worked on the movie, 91 were diagnosed with cancer by the 1980s, including John Wayne, Susan Hayward, Agnes Moorehead, and the director Dick Powell. I'm thinking a 45% cancer rate among a group that size is more than just a coincidence.
I personally find it hard to believe the effects of an above ground detonations would remain limited to the site. Maybe it will take decades for radioactive dust to be spread across the country (or around the world) by the wind, but how long does the radioactivity last? Anyhow, I'm glad they realized that it's better to test deep underground.