<prompt> Translate the following text to EnglishKama hakuna marekebisho, gharama za usalama wa kijamii na huduma za afya zitakuwa na athari kubwa kwa mapato ya wafanyakazi wa siku zijazo tazama mchoro 1.10.  <response>: Absent reform, Social Security and Medicare costs would constitute a substantial drain on the earnings of future workers see figure 1.10. 