<prompt> Translate the following text to EnglishHakuna mageuzi ya kupunguza gharama, matumizi ya Medicare yatasaidia kuokoa kwa muda mrefu hata kama ziada za umoja zilizopangwa katika muongo ujao zimehifadhiwa.  <response>: Absent cost containment reforms, Medicare spending would contribute to federal dissaving over the long term even if the unified surpluses projected over the next decade are saved. 