<prompt> Translate the following text to EnglishProgramu hiyo haikuweza kudumu kwa kifedha katika fomu yake ya sasa, na kuongezeka kwa matumizi ya Medicare inatarajiwa kuendesha serikali ya shirikisho kuondoa akiba kwa muda mrefu.  <response>: 46 The program is fiscally unsustainable in its current form, and growing Medicare spending is expected to drive federal government dissaving over the long run. 