<prompt> Translate the following text to SwahiliAbsent program changes, saving the Social Security surpluses-and even the Medicare surpluses14-is not enough by itself to finance the retirement and health programs for the elderly.  <response>: Kwa kutokuwa na mabadiliko ya programu, kuokoa ziada za Usalama wa Jamii - na hata ziada za Medicare - haitoshi peke yake kufadhili mipango ya kustaafu na afya kwa wazee. 