The US macroeconomy is facing incremental challenges that cannot be resolved in the short run. Economic policy has lost its way and the unfolding results are becoming too unequal and are unsustainable. The coronavirus is a disturbance—bigger (structural) problems are building from environmental stress and slowing demographics and productivity growth. The seeds of trouble were planted with Reaganomics in the 1980s. This caused the US to become a debt addict—like a person who takes cocaine in ever bigger doses to pretend to feel happy. This book presents a view of what I believe this means and why I believe that economic policy trends are unsustainable. Macroeconomic policy should be reformed toward long-run resilience and sustainability, and away from short-run populism and empty promises. Should we not strive to diminish anxiety in the world and offer new generations better-argued hope for their future with credible planning and analysis? Let us see beyond the next election and index the policy horizon to life expectancy of newborns. We should first envision a decent and sustainable future for them, then work backwards to see what this means for our conduct today. If politicians (from any party) have nothing credible to say about the economic wellbeing of new generations, nor in any sense have an intertemporal view of how the economy might develop, let us vote them out of office. The book is subtitled “Notes for Discussion.” All comments and improvements are welcome to help build a better understanding of what is going on.