Ah... Evidently you didn't notice/understand the symbology. In the given illustration there is no "macerator pump". There is only a hand operated Whale Gusher diaphragm pump to direct/pump waste from the holding tank to the through hull. With a good enzyme "digester" additive to the holding tank, the Whale Gusher is quite good at moving the liquified effluent out of the boat. This arrangement worked well/reliably on our former yacht from 1976 until early 2002 and has been working equally well on our current yacht since 2002 through the present. But heck. What do I know, eh?