The document discusses four challenges facing the American economy: the Federal Reserve's large balance sheet from quantitative easing, historically low interest rates, a sluggish housing market, and growing government debt. It analyzes the implications of the Fed either maintaining or selling off its assets on interest rates and inflation. While higher rates could curb inflation, it may also slow the housing recovery and increase the cost of servicing government debt. The best approach is for the Fed to gradually raise rates through asset sales as the economy continues improving.