Why do people continue to die of Covid in Italy more than elsewhere?

It is a question that everyone is asking a little and to which no one has given an answer so far: why in Italy SARS-CoV-2 has made, and continues to do, in relation to the population, more victims than elsewhere? Since the beginning of the pandemic, according to data from the Ministry of Health and the Higher Institute of Health, we have had over 170,000 in our country