<prompt> Translate the following text to EnglishKwa mfano, serikali ya Marekani ina Medicare, ambayo ni moja ya gharama kubwa zaidi ya serikali ya Marekani, na kwa hiyo ni moja ya gharama kubwa zaidi ya serikali ya Marekani.  <response>: well just think the federal governments insurance bill has Medicare and thats been going through the roof and thats why federal you know thats thats the biggest increase in federal spending right there 