<prompt> Translate the following text to EnglishCBO imebainisha kuwa kuamini tu kurudi kwa mwenendo wa kihistoria na ukuaji wa haraka kidogo katika matumizi ya huduma za afya itapunguza sana ziada zilizotazamiwa.  <response>: CBO has pointed out that simply assuming a return to historical trends and slightly faster growth in health care spending would dramatically reduce the surpluses projected. 