They print money and then they use that money to buy treasury bonds from banks. The money goes to the banks and the t-bills come back to the fed, badda bing badda boom, and when they want to decrease the money supply, they sell the t-bills to the banks and money comes back/out. And the US Treasury decides how many t-bills there are. This system provides a lot of control, from the public sector, over these operations while also having them take place in the open market.
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