<prompt> Translate the following text to EnglishMfumo huo uliovunjika-vunjika bila usimamizi ulikuwa na kasoro zake si madaktari wote waliotoa utunzaji mzuri na gharama madaktari waliongeza bili.  <response>: That fragmented system without oversight had its deviance not all doctors provided good care and cost the doctors drove up the bills. 