？
Can we really say 'no' to the United States?
Literal
America [to-に] 'no' [quotative-と] can-say [question-のか]?
Echoes the famous 1989 book 「NOと言える日本」(The Japan That Can Say No). ノウ renders English 'no' in katakana. ~のか is a probing, serious question particle. The sentence captures a perennial debate about Japan's diplomatic stance. 米国 (America) is the formal Sino-Japanese term.