Could swine flu kill millions if the worst case occurred?

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Just to note that mutations have been confirmed, but that the mutations at this point, do not seem to make H1N1 more virulent. Also, no confirmed cases outside of the Netherlands are found. http://www.promedmail.org/pls/otn/f?p=2400:1001:50943::NO::F2400_P1001_BACK_PAGE,F2400_P1001_PUB_MAIL_ID:1010,79432
 
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B. Elliott said:
And to think, on a yearly basis the typical seasonal flu ends up killing over 30,000 people in the US alone.

As many others, you fail to grasp the difference between a pandemic influenza and a seasonal influenza. It is not primarily about fatalities.
 
I've read that about 10% of the people who die from Swine flu were healthy young people. So, even if the Swine flu pandemic turns out to be less deadly overall than ordinary flu, it will have far more devastating consequences.