stallone wrote:
Among lower-paid workers, union members are less likely than nonunion members to be enrolled in lower-end insurance plans imposing stricter limits on medical services and requiring doctors to see more patients, and spend less time with each.
(A) ..........
(B) imposing stricter limits on medical services, requiring doctors to see more patients, and spending
(C) that impose stricter limits on medical services, require doctors to see more patients, and spend
(D) that impose stricter limits on medical services and require doctors to see more patients, spending
(E) that impose stricter limits on medical services, requiring doctors to see more patients and spending
D for me.
lower-end insurance plans do 2 things:
1)impose stricter limits on medical services
2)require doctors to see more patients
the 2) above makes doctors spend less time with patients.
It is not lower-end insurance plans that spend less time with patients.
A is wrong because the use of 'spend' is incorrect. (as if plans spend less time)
B is wrong for the same reason, though it looks parallel it means all three actions are done by insurance plans.
C is same as B just that it uses base form of verb instead of ing form
D correctly indicates that 1) & 2) above are done by insurance plans and spending less time is outcome of 2)
E indicates that only 1) is done by insurance plans and remaning are outcome of 1)