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Not quite just a title. The queen, or king depending on just how the person might be equipped, of England is the head of state. This is an official and influential, and sometimes powerful, office. The prime minister is the chief executive.
In the USofA both the head of state and the chief executive is one person, the inept Obama. Assuming that other nations vest both duties in one person is being rather provincial.
Sure but who makes most of that countries decisions....Queen, or Prime Minister?
I guess I should add I'm not dissing on Great Britain. No offense to you brits on here or your country at all. Just not digging the wedding hype. lol.