Presumably countries that have higher speed limits and fewer fatalities also have roads that are designed for those higher speed limits, both sight distances and road construction. I understand that the Autobhan's pavement is double the thickness of the U.S. Interstate to insure a smooth surface (I've never been to Germany, so this is just going by what I've read). Accident reduction is primarily a function of road design and construction. That's why you can't say, "Germany has no speed limits on parts of the Autobahn therefore the U.S. should have no speed limits as well". It's not even close to an apples to apples comparison.
In addition to better road design, it also helps if you have to do more than purchase a box of Cracker Jacks to get a license.
So sight distances, curve radii, grades, superelevation, sign and standard placement, construction materials, a host of things I haven't mentioned, plus educated drivers all combine to make roads safe or unsafe.