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Why is Option B wrong? Can anyone explain elaborately.
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PRIYANK2020
Why is Option B wrong? Can anyone explain elaborately.

B) but not of out-patient services, making senior citizens pay one quarter of the total costs incurred.
'Making' or verb+ing modifier is trying to modify the action verb 'instituted'. So the intended meaning of B is The institution of healthcare program is making the senior citizen to pay one quarter of the total costs incurred. However, the intended meaning is "the out patient service is making the senior citizen to pay one quarter of the total costs incurred ". The meaning is crystal clear in C.
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PRIYANK2020

comma+ ing modifier modifies a verb in the preceding clause , but in option b making is referring to the services. So when a ing modifier is modifying a preceding noun , it should not be separated by a comma.
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