<prompt> Translate the following text to EnglishChaguo lolote la kupanua mfuko wa faida ya Medicare - bila mageuzi mengine - lina hatari ya kuharibu usawa wa kifedha wa programu na kuongeza kuokoa kwa serikali.  <response>: Any option to expand Medicares benefit package-absent other reforms-runs the risk of exacerbating the programs fiscal imbalance and increasing government dissaving. 