Firstly, it's certainly not 80-90 of those 200, that's preposterous if you look at more detailed analyses of the results. About 70 of those 200 deaths are from irresponsible use of ebikes by old people!
Furthermore, bikes are the primary mode of transportation for most people I know here - elderly, young, weak, strong, you name it. The USA's main mode of transportation is cars (unnecessarily large ones!), which (aside from killing over 40,000 people a year directly) also kill the environment, the bodies of those inside, and a truly horrifying number of other people by proxy of countless wars waged over oil. If you count the 40,000 direct deaths alone, you get 129 deaths per 1M Americans per year and 11 deaths per 1M Dutch people per year. Take into account the other issues involved in driving and I'm sure that number will increase by (at absolute minimum) a factor of 10.
Helmets may make sense in America, where biking is a sport dominated by 30-55 year old men on $1000+ bikes wearing criminally tight pants, sunglasses, and aerodynamic helmets. But in the Netherlands they are a preposterous idea. Wearing helmets decreases bike use, which kills in far greater numbers.