It only seem to have a stronger hold on when first introduced, probably because there are more fish in the tank to get infected. Once fish have died you general have less of a population to get reinfected, which can make it seem like it's having less of an impact. Also, the fish that may make it are usually tougher and stronger, though that's not always the case as tough and healthy fish can and do get ich and die from it.
Just think, if it came from someone tank, and it was already weaken, then it shouldn't have any impact on your tank, but that isn't the case though. If it's weaken the fish should be able to fight it off, but that's not the case either.
I'm not sure who you're talking to, or what accounts you're getting, but what you'll find it that the people who have fish die usually aren't the ones talking, so you're probably only getting one side of the story.
There are plenty of different strains, some are very deadly, killing in a couple of days, and in some case even quicker. The bigger problem is nobody is really sure if it's ich or not, as there are many different parasites that can and do give off the same symptoms as ich.
You need to remember, if ich was that easy to get rid of, then it wouldn't be the problem that it is.