As of December 2024, Japan held United States treasury securities totaling about 1.06 trillion U.S. dollars. Foreign holders of United States treasury debt According to the Federal Reserve and U.S. Department of the Treasury, foreign countries held a total of 8.5 trillion U.S. dollars in U.S. treasury securities as of December 2024. Of the total held by foreign countries, Japan and Mainland China held the greatest portions, with China holding 759 billion U.S. dollars in U.S. securities. The U.S. public debt In 2023, the United States had a total public national debt of 33.2 trillion U.S. dollars, an amount that has been rising steadily, particularly since 2008. In 2023, the total interest expense on debt held by the public of the United States reached 678 billion U.S. dollars, while 197 billion U.S. dollars in interest expense were intra governmental debt holdings. Total outlays of the U.S. government were 6.1 trillion U.S. dollars in 2023. By 2029, spending is projected to reach 8.3 trillion U.S. dollars.

In the fiscal year of 2025, the budget for the Department of Health and Human Services is expected to be about 1.83 trillion U.S. dollars. In comparison, the Small Business Administration is expected to have a budget of 1.46 billion U.S. dollars.

United States Federal Government

The federal government in the United States is comprised of three branches of the government: the legislative, executive, and judicial branches. The executive branch is the office of the President of the United States, the legislative branch is the United States Congress, and the judicial branch is the United States Supreme Court.The U.S. cabinet belongs to the executive branch of the government, which belongs to the president and vice president.

U.S. Department of Health and Human Services

The U.S. Department of Health and Human Services is the department of the federal government that provides health services to Americans. The Secretary of the department is Xavier Becerra, who was appointed by current president Joe Biden. Some of the Operating Divisions in this department include the Food and Drug Administration, the Center for Disease Control and Prevention, and the National Institutes of Health. The outlays for the Department of Health and Human Services have been steadily increasing since 2000. The agency that had the highest amount of spending in this department in 2020 was the Centers of Medicare and Medicaid Services.