This document discusses moving governments from cash to accrual accounting and budgeting. It notes that while accrual accounting is widely accepted, with about 50 countries using it, accrual budgeting has seen less adoption. Only 4 countries fully use accrual budgeting, though some others use a mixed approach. The document argues for an integrated accrual accounting and budgeting system to improve transparency and accountability in government financial reporting. It stresses that reforms are needed now to address issues like Greece manipulating deficit and debt data and inaccurate pension liability reporting.