The United States surpassed Italy on Saturday as the country with the highest reported coronavirus death toll, recording more than 20,000 deaths since the outbreak began, according to a Reuters tally.

The grim milestone was reached as President Donald Trump mulled over when the country, which has registered more than half a million infections, might begin to see a return to normality.

The United States has seen its highest death tolls to date in the epidemic with roughly 2,000 deaths a day reported for the last four days in a row, the largest number in and around New York City. Even that is viewed as understated, as New York is still figuring out how best to include a surge in deaths at home in its official statistics.

Public health experts have warned the U.S. death toll could reach 200,000 over the summer if unprecedented stay-at-home orders that have closed businesses and kept most Americans indoors are lifted when they expire at the end of the month.

Most of the curbs, however, including school closures and emergency orders keeping non-essential workers largely confined to home, flow from powers vested in state governors, not the president.

Nonetheless, Trump has said he wants life to return to normal as soon as possible and that the measures aimed at curbing the spread of the COVID-19 disease caused by the novel coronavirus carry their own economic and public-health cost.