<prompt> Translate the following text to EnglishMapendekezo ya hivi karibuni ya akuta yanajumuisha dhana za kweli zaidi kuhusu matumizi ya muda mrefu ya huduma za afya, na kwa sababu hiyo, matumizi ya Medicare yanatarajiwa kukua kwa kasi zaidi kuliko ilivyokadiriwa hapo awali.  <response>: 48These latest actuarial projections incorporate more realistic assumptions about long-term health care spending, and as result, Medicare spending is expected to grow faster than previously estimated. 