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问一题,请教thus用法

16. Migraine, the most debilitating common form of headache, afflicts perhaps 18 million Americans, who collectively lose 64 million workdays a year, and they cost the nation $50 billion in medical expenses and lost work time.

(A) year, and they cost the nation $50 billion in medical expenses and lost
(B) year and thus cost the nation $50 billion in medical expenses and lost
(C) year, so as to cost the nation $50 billion in medical expenses and lost
(D) year that costs the nation $50 billion in lost medical expenses and
(E) year, which thus cost the nation $50 billion in lost medical expenses and
请问thus是否可指代前面一句话的内容,那么其后的谓语动词用单数还是复数?而且这道题中,cost为何不用costs呢?
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thus一般与and连用,表因果关系,而这里lose and thus cost两个V并列做who的谓语,因为who指代americans,所以用复数

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谢谢

我还以为thus指代前面的那件事情呢。。。不过,americans cost...可以这

样说马?

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我觉得,cost是不可以用人做主语的,是因为没有sb costs +钱的用法
但有sth costs sb +钱的用法
所以这里应该是可以这么用的吧,也就是没把美国人当人看???

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cost 的主语是“Migraine",在migraine之后的“the most debilitating common form of headache, afflicts perhaps 18 million Americans" 都是插入语,修饰migraine的。

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但是最后一句是修饰americans的啊,and的并列也是和who后面的内容并列,所以是americans, 我觉得。。

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那么为什么cost后面没有“S”??我觉得cost的主语还是americans

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