Among lower-paid workers, union members are less likely than non union 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) imposing stricter limits on medical services and requiring doctors to see more patients, and spend
(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
(A) imposing stricter limits on medical services and requiring doctors to see more patients, and spend "spend" is not logically parallel to anything and yet is marker with the list marker "and" unnecessarily. Eliminate.
(B) imposing stricter limits on medical services , requiring doctors to see more patients, and spending "requiring" and "spending" appear to modify "union members" (subject of previous clause) which does not make sense. Eliminate.
(C) that impose stricter limits on medical services, require doctors to see more patients, and spend Placement of "and" before "spend" implies that "lower end insurance plans" are the entities that "spend less time...", which is incorrect. Eliminate.
(D) that impose stricter limits on medical services and require doctors to see more patients, spending Correct answer - above errors are rectified and no new errors are introduced. Usage of "spending" correctly modifies "doctors".
(E) that impose stricter limits on medical services, requiring doctors to see more patients and spending Placement of "and" before "spending" implies that "lower end insurance plans" are the entities that are "spending less time...", which is incorrect. Eliminate.