<prompt> Translate the following text to SwahiliAbsent cost containment reforms, Medicare spending would contribute to federal dissaving over the long term even if the unified surpluses projected over the next decade are saved.  <response>: Hakuna mageuzi ya kupunguza gharama, matumizi ya Medicare yatasaidia kuokoa kwa muda mrefu hata kama ziada za umoja zilizopangwa katika muongo ujao zimehifadhiwa. 