134.

Among lower-paid workers, union members are less likely than nonunion 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

答案是D，如何理解？我做的时候感觉没答案，汗.......

impose stricter limits on medical services and require

doctors to see more patients 是plans的内容，而spending less time

with each 是这个plan导致的结果。仔细领会内容意思了啦~~~