When I WE was referring the the United States, I should have been more clear on that as cant speak for Germany as I don't have any first information to draw on. What is keeping our rate down just from my perspective is a relatively low hospital occupation level (percent based), and our current ability to shift patients to areas that have a lower case load. Again my opinion only, that is happening because of relatively low infection/cases per million. However just in my area that is changing rapidly, as we no longer have the surplus resources we had even 5 days ago, and I expect to see things continue to deteriorate.
All that is long winded way of saying despite our shortcomings we are still better equipped from a financial and a resource perspective than a lot of places.
And just like in other countries the healthcare workers, Dr's, Rn's and all the hospital staff have stepped to the plate to fill additional shifts for the continuation of patent care. Same can be said for our EMS staff and police departments, both are responding to calls with an increase of uncertainty that hasn't been never seen before. Lots of people selflessly putting themselves out there in more ways then I can list. If nothing else we should all come away from this with reinvigorated sense of our commonality as humans.