The joke is that world leaders are playing mahjong like their lives depend on it, and the show treats a tile game with the gravity of a geopolitical thriller. Every hand becomes a proxy war. The Pope vs. Kim Jong Il at a mahjong table is the entire appeal, and the show knows exactly how stupid that is, which is exactly why it works.
Real-world political figures, among them the Pope, Kim Jong Il, George W. Bush and a line of recent Japanese prime ministers, face each other across a riichi mahjong table. In this satirical comedy OVA, adapted from a mahjong manga, international diplomacy is decided by the game, and every leader is portrayed as a mahjong master. The title spoofs one of Koizumi's political slogans, and a disclaimer notes that the characters are fiction and not meant to depict the real people they resemble.