Foreign holdings of U.S. Treasury securities totaling $9.2 trillion are routinely discussed as if they were primarily a debt management problem — a question of who holds U.S. paper and under what conditions they might sell it. That framing is incomplete. By the logic of national income accounting, foreign holdings of U.S. federal debt are inseparable from the U.S. trade deficit, and any serious discussion of the former has to grapple with the latter.