<prompt> Translate the following text to SwahiliIndeed, managed care was the primary engine relied upon by the Clintons health-reform plan to generate the savings that would finance universal coverage at no net cost.  <response>: Kwa kweli, huduma ya udhibiti ilikuwa injini ya msingi iliyotumiwa na mpango wa marekebisho ya afya wa Clinton ili kuzalisha akiba ambayo ingesaidia kufadhili chanjo ya jumla bila gharama ya jumla. 