As has been pointed out, Italy has an older population than we do, many more multi-generational households than we do, a much less robust health care system than we do and lots of Chinese workers in a relatively small geographic area, many of whom come from Wuhan. So, the idea that our death rate will ever approach Italy's, is a specious one.
Italy absolutely does NOT have a much less robust health care system than we do. Italy actually has the 2nd best health care system in the world, behind only France, according to multiple ranking sources. I know, not only from stats, indicators, and rankings, and not even only from having lived in Italy, but also from having been a critical patient in Italy, once.
True story:
Same disease, same condition: I was once in Italy when I had one of my acute emergency exacerbations. Within minutes I was rushed to a regional hospital by ambulance, and immediately saw a triage nurse, who said "here's what the doctors will need to do - [explained - very accurately, and then she added] - you need a specialist who is experienced with this kind of care;, let's rush you to a bigger hospital where we have them on call" - the same ambulance took me there to a sparkling modern tertiary hospital and within half an hour I was admitted and not one, not two, but three seasoned, experienced specialists were seeing me, discussing my case, and treating me. They soon fully restored me to health. One of the things that surprised me most was that 3 specialists came to see me within one hour of the start of the symptoms! See below how much harder it was to get 1, in the US!!!
The bill I paid in Italy: zero euros. (I'm entitled to their universal health care by virtue of being a citizen of the European Union who resided in Italy at the time). All I had to do was show my EU passport and resident card. [I am a dual citizen of the United States and of one of the European Union countries]
Same disease, same condition in the US: I went to the ER, saw a clerk who said I'd be seen "as soon as possible" (not before endless questions and forms to make sure I had private health insurance although I was obviously in pain). Was in agony in the waiting room, two hours later a triage nurse saw me, said, "yep, the situation is serious, the doctor will see you." Knowing my own case well I inquired about a couple of courses of action, she said "I don't know, I don't get paid the big bucks, you'll have to ask the doctor, go back to the waiting room and we'll call you." I asked, "do you have a specialist for this condition?" "No, but the ER doctor will see you." Two more hours later, still not seen, I got frustrated and went back home, and tried to call a specialist. 12 attempts later nobody wanted to see me until one finally accepted to see me but could only do it two days later. I spent 2 more miserable days, and finally the specialist saw me and did get the situation solved, similarly to what they did in Italy (just, it was much faster and much more efficiently done over there).
The bill I paid in the United States: several thousand dollars even with insurance.
Anyway, don't underestimate Italy's outstanding health care system, but yes, with the rapid rate of contagion and several deaths in their aging population there, sure, they got overwhelmed. Do you know why they have so many old people there? Because they reach that old age still alive and kicking, thanks to their excellent health care system available to every citizen, and thanks to their healthier life style (Mediterranean diet, much more walking, smaller obesity rate, etc.).
This disease will overwhelm us here too, if we don't implement containment measures.