Well, to be fair you would typically expect a database that's the equivalent of a remote hash table to be pretty much as fast as you can get. Now I don't have any experience with couch but most of the other key value stores I've used they scream with performance. But if you're doing anything beyond basic manipulations then it's going to require a lot of tuning depending on the solution you went with.

But RDMS can be very similar. Both are useful tools when used correctly and there is a huge amount of overlap in terms of capability.