Death rates v confirmed cases are pretty meaningless at this stage, well at least the figures we the public are getting are. Every country is testing a different cohort of people so a country testing people who feel unwell is likely have much lower death rates than somewhere like the UK where our testing has been much more targeted at sick people in hospital.
The increase in an individual country's infection rates day on day (however they measure that) is the predictor of what's coming for a country, as that will be followed with a similar trajectory of deaths after a lag. That doesn't tell us how effectively a health system is preventing people from dying of course, just how rapidly the virus is spreading. It's looking pretty awful for all of us, but given the US hasn't locked down fully, my prediction is it will be truly desperate there.