Building large new hospitals in the bistate area would constitute a wasteful use of resources, on the basis of avoidance of duplicated facilities alone.
(A) on the basis of avoidance
of duplicated facilities alone
(B) on the grounds of
avoiding duplicated facilities alone
(C) solely in that duplicated facilities should be avoided
(D) while the duplication of facilities should be avoided
(E) if only because the duplication of facilities should be avoided
B - out - grounds for is the idiom not grounds of
C/D out - does not fit with sentence.
A/E both are not right.
A - "avoidance" seems to be wrong.
E - if only because, "should".
Not sure between A/E.
source of question seems to be poor...and might be doing more harm than good..got to avoid looking at these