I believe the reason why we are getting "so worked up about the situation in India" is because of the absolute number of lives being lost. It's not a case of looking at "deaths per million", it's a case of looking at deaths. Compassion for humanity, our fellow brothers and sisters in this grieving world.
Completely agree @trystan
And for anyone who thinks they need a better reason, there is also an element of self-preservation.
The more people who get infected with Covid the greater the number of random mutations that will occur.
The more random mutations, the greater the chance that one of them will prove to be more deadly and achieve 'vaccine escape'. The consequences of that are unimaginable.
Healthcare systems and government administrations which are stretched to breaking point with the number of cases and the number of deaths are less able to contain the total number of infections, and therefore we are all exposed to a greater risk from mutations. It is in our interests to help every country keep a lid on the virus as far as possible.
Finally, when comparing countries the accuracy of reporting has to be taken into account. Dr John Campbell's YouTube videos are always informative, and a few days ago he dealt with the issue of global under reporting of deaths. It is estimated that India's reported figures are about one third of the true numbers of deaths, and there is anecdotal evidence that reporting in some places could be around 10% (or less) of the true number. The scale of what is happening in India is very hard to comprehend.