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In this quote, Alice Rivlin is referring to the role and responsibilities of a central bank, such as the U.S. Federal Reserve. Central banks aim to maintain economic stability within a country by managing factors like interest rates, inflation, and the money supply.
Rivlin suggests that a key part of a central bank’s job is to constantly monitor economic conditions and potential risks on the horizon. The central bank needs to “worry” about how its policy decisions could impact the economy, anticipate problems that may arise, and consider challenges that could destabilize the financial system.
The quote implies central banking involves shouldering the burden of constant vigilance and concern over the health of the overall economy.