<prompt> Translate the following text to EnglishKwa 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.  <response>: Absent 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. 