Clearly, this was a very difficult tornado to warn for, given the speed of development, the brisk motion, the rain-wrapping, the late-day lighting, etc. So, I'm frankly impressed the NWS could even get a warning out in time. Thank God they did.
But the death toll is a bit of a shock. As gymengineer pointed out (above), it's not like this is the first time in the modern era that a violent wedge tornado has plowed headlong into the heart of a good-sized city. I'm curious what made this event so much more deadly than Topeka 1966, Lubbock 1970, Omaha 1975, Wichita Falls 1979, etc. etc. The death toll is just so much greater, it begs the question. Were there a couple of major building failures with lots of people inside? Do people not have basements there?
I hope that someone does a study about this and issues some findings. It could be really valuable for future preparedness efforts.