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it should be B.

Between X and Y
and parallelism

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Bunuel
The nation’s increasing reliance on automation is reducing the number of jobs available to hardworking people, forcing many families to make the unfortunate choice between having a roof over their heads or receiving healthcare.


(A) forcing many families to make the unfortunate choice between having a roof over their heads or receiving healthcare

(B) forcing many families to make the unfortunate choice between having a roof over their heads and receiving healthcare

(C) forcing many families to make the unfortunate choice between having a roof over their heads or healthcare

(D) forcing many families with making the unfortunate choice between having a roof over their heads and healthcare

(E) forcing many families to make the unfortunate choice among having a roof over their heads and healthcare

use of parallel verbs ;ing form to be used
option A & B are left

comparison word between always goes along with 'and' .. between x and y...
A is wrong
IMO B
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Bunuel
The nation’s increasing reliance on automation is reducing the number of jobs available to hardworking people, forcing many families to make the unfortunate choice between having a roof over their heads or receiving healthcare.


(A) forcing many families to make the unfortunate choice between having a roof over their heads or receiving healthcare

(B) forcing many families to make the unfortunate choice between having a roof over their heads and receiving healthcare

(C) forcing many families to make the unfortunate choice between having a roof over their heads or healthcare

(D) forcing many families with making the unfortunate choice between having a roof over their heads and healthcare

(E) forcing many families to make the unfortunate choice among having a roof over their heads and healthcare

OFFICIAL EXPLANATION:



B. forcing many families to make the unfortunate choice between having a roof over their heads and receiving healthcare

The proper conjunction is and for linking two elements one is choosing between. So Choices (A) and (C) are wrong because they include the conjunction or. Making a choice between one element or the other is incorrect. Choice (D) replaces “to make” with “with making,” but the proper preposition to pair with force is to; one is forced to take action rather than forced with taking action. Choice (E) incorrectly swaps between for among, which doesn’t work for a two item choice.
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