<prompt> Translate the following text to Swahili46 The program is fiscally unsustainable in its current form, and growing Medicare spending is expected to drive federal government dissaving over the long run.  <response>: Programu 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. 