<prompt> Translate the following text to SwahiliAny substantial benefit reform should be coupled with adequate and effective cost containment measures to avoid worsening Medicares long-range financial condition.  <response>: Mabadiliko yoyote ya faida ya msingi yanapaswa kuunganishwa na hatua za kutosha na za ufanisi za kuzuia gharama ili kuepuka kuzorota kwa hali ya kifedha ya muda mrefu ya Medicare. 