We have the most cases for a few very unalarming reasons. First of which, one that I thought would be common sense, is because The US has the third most populated country in the world, over 5x the amount of Italy, which means a lot more people to contract the virus. Despite what the media might want you to think the US has conducted more tests than any other nation, there are obviously many cases around the world that are not reported because they can not be confirmed by tests. The US just has the most cases that are confirmed due to more tests. The last reason why we have the most is because we are honest with our reports on the amount of cases, who knows what is going on behind the scenes in China.