Chapter 10 highlights a confluence of factors in the United States that produce a high percentage of wasted votes and a system of governance that largely fails to reflect the will of the majority of voters, widely considered a cornerstone of democracy. This study judges the fundamental integrity of key elements of the electoral process in the United States by applying the same standards used to evaluate developing democracies around the world. Several acute challenges to the U.S. electoral process are identified: boundary delimitation for the House of Representatives, the role of the Electoral College in presidential contests, processes of voter registration, and the decentralized administrative framework. The chapter concludes that despite obvious vulnerabilities, the United States is resistant to acknowledging these problems, to reform its electoral process in line with international standards, or to learn from the comparative experience of other countries that have strengthened their elections over time.