Cammisa and Manuel have produced an interesting analysis of the 'efficiency' versus 'deliberation' arguments surrounding the value of parliamentary systems versus presidential systems. This timely book reviews potential reforms of the American system while comparing it to a modified British equivalent. The authors cite gridlock, a lack of accountability due to divided government, and the lack of a vote of no confidence as weaknesses in the American style of government that promote dysfunction, inefficiency, and a lack of accountability to voters. The authors take care to compare the strengths and weaknesses of the American presidential system through a series of case studies on the Contract with America and the Affordable Care Act. The innovative area of the book lies in its predictive chapters, which discuss avenues of change or reform if the US adopted a system similar to the UK's. The . . . .treatment of the subject by the authors is excellent. This book would be an excellent supplement to any introductory government class. Summing Up: Highly recommended. General readers and undergraduate students.