<prompt> Translate the following text to EnglishMjadala wa sera zinazozunguka Usalama wa Jamii na mageuzi ya Medicare pia zina athari kwa ngazi zote za kuokoa- serikali, binafsi, na, hatimaye, kitaifa.  <response>: Policy debates surrounding Social Security and Medicare reform also have implications for all levels of saving-government, personal, and, ultimately, national. 