<prompt> Translate the following text to EnglishMabadiliko 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.  <response>: Any substantial benefit reform should be coupled with adequate and effective cost containment measures to avoid worsening Medicares long-range financial condition. 