Yea, the NEMAtoad plugs are pretty stupid. But there is a reason for them being the way they are. It's because a lot of early municipal electrical development occurred in the US at first (The plug was patented by Hubbell in 1913 while standards like the BS and CEE came into use after WW2) so while NEMA is one of the worst plug designs, it's also one of the oldest.
This is true for other things like NTSC. We came up, designed, and implemented NTSC before PAL was designed, which is why PAL is better as it was an improvement over the not as good NTSC standard.
Our customary measurements are based off of the Imperial system used by the UK (As we were previously colonies of the UK).
We haven't changed most of our standards because we both haven't had many wars fought on home turf, as parts of Europe had to rebuild and redesign after the world wars, while we sorta didn't need to, and because it as MUCH larger ordeal for us to change standards because we are so big in size and population. This IMO (Also based on some facts) is why we never really adopted the better and more worldwide standards like 240/230v power, PAL TV, and the Metric system.
And in terms of danger of 120v and 240v countries, keep in mind our outlets are current limited to 15A, which means, depending on other factors, we may be a bit more deadly. Then again, a standard German installation is 16A. The twice the voltage is not the end of the story. The alternation rates are different for all 120v countries (Except for half of Japan) than in 230/240v countries too.
But no matter how you put it, yes you can kill yourself on both if you ground yourself straight through your heart, and you're not within immediate medical care. If you ground yourself through your hand or arm, you might cause nerve and tissue damage, but it can't really kill you as easily.