Worse than Berlusconi
Many countries separate the offices of head of government and head of state. In the UK, you have the Prime Minister and then you have the Queen. In Germany you have the Chancellor and then you have the President. Even in France, with a strong presidential system of government, you have a Prime Minister and a President. The head of state is the representative of the state on the world stage and in some sense the embodiment of the nation. He or she has important ceremonial duties in addition to whatever role he or she has in actual governance, which can range from no essentially no role in a state like Japan to the most important role in a state like France.
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