Re: Before
"the US no longer had the ability to get a crewed vehicle up into space."
There were plenty of opportunities to send up an uncrewed vehicle to reboost skylab - the problem is that without Saturn launchers the on-station fuel payload for boosting wasn't going to keep it in orbit long enough for Shuttle missions to reboost to higher levels (Shuttle was originally scheduled to rendezvous in 1978 but the first one didn't launch until 1981 - and even with that, no serious thought had been given to _how_ reboosting with a shuttle could be done. It wasn't until late in Shuttle's life that it started reboosting ISS (all previous reboosts were done by Progress/Soyuz vehicles.)
Sending stuff up is easier than making sure it comes down safely )or in small enough pieces to be safe). The reentry of Spacelab's booster in 1973 and survival down to sea level of heavy bits (at least the engines, probably more) served as a wakeup call to NASA that they'd better make sure things either burned up or could be guided to an uninhabited spot.
Recall this is the same NASA which left "spent" boosters unvented in orbit for many years (the higher orbit ones generally took 2-20 years to come down) until several of them exploded for no apparent reason - that's the reason that care is taken to ensure that boosters are brought down as quickly as possible these days (usually by ensuring that perigee of the transfer orbit is inside the atmosphere) - and if they can't be, every last bit of propellant and oxidiser is vented (including the manouvering jets) to ensure there no extra debris clouds are made.
There's still a full-size nuclear reactor (not just a RTG) sitting in orbit which will come down one day and it's debateable as to what will happen when it does (nothing's going to go boom, but the thought of that much plutonium being smeared across the landscape should give pause for thought)
This chinese station isn't very large and was only intended to be in-orbit for a couple of years. It's unlikely that anything large will reach the ground - especially given that without stabilisation it will be tumbling long before it starts decelerating, which should mean that it gets ripped to pieces.