One point to consider there is how poorly managed our elderly care is, well before this crisis. It's hard to determine for sure but I can't imagine that it didn't factor into our high mortality among the elderly.

Staff went to work without PPE, and some were ordered to go to work despite showing symptoms.

The effects of COVID19 are not tied solely to the immediate actions in March and April but are affected by systemic issues too.

The most important factor is how well you protect the elderly and in particularly nursing homes. Sweden did a relatively poor job at that. New York did a very poor job at that. Strict lockdowns don't seem to help. In fact, some of the places with the strictest lockdowns have the largest numbers of deaths.

I think this is a duplicate post?