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TheGmatNiffler
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If we separate comma phrase "high blood pressure is significantly more prevalent than it is in the Swiss population" It's not making any sense. Neither it's Depedendent nor it's clearly drawing parallelism between two countries.
GMATNinja can you shed some light on this.

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C correctly places the modifier "is significantly prevalent" in the right place to refer to high blood pressure. Also, high blood pressure in US is compared with Swiss correctly with the "it is" words.
D is disqualified due to wrong modifier placement. "Is significantly prevalent" in this case refers to population which changes the meaning.

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What follows after comparison has to be parallel.

In option D, to maintain parallelism, replace "it" with phrase,
High blood pressure in the U.S. population is significantly more prevalent than [High blood pressure in the U.S. population] is in the Swiss population.

This is nonsensical. Whereas in C,
In the U.S. population, high blood pressure is significantly more prevalent than [high blood pressure] is in the Swiss population.

This comparison is clear and makes sense.

Request experts to evaluate.
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What follows after comparison has to be parallel.

In option D, to maintain parallelism, replace "it" with phrase,
High blood pressure in the U.S. population is significantly more prevalent than [High blood pressure in the U.S. population] is in the Swiss population.

This is nonsensical. Whereas in C,
In the U.S. population, high blood pressure is significantly more prevalent than [high blood pressure] is in the Swiss population.

This comparison is clear and makes sense.

Request experts to evaluate.

Do we really need to take the whole phrase in place of "it"? Can "It" also refer just to high blood pressure
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How do we know "it" refers to "high blood pressure in the U.S population" or "high blood pressure".
Also, in C, In the U.S. population, is modifying the whole clause which does not make sense.

Can someone shed some light on this?

Thanks
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