101. Even though the direct costs of malpractice disputes amounts to a sum lower than one percent of the $541 billion the nation spent on health care last year, doctors say fear of lawsuits plays a major role in health-care inflation.
(A) amounts to a sum lower
(B) amounts to less
(C) amounted to less
(D) amounted to lower（C）
(E) amounted to a lower sum
我开始以为dispute 是个动词，查了字典是个名词，表示“不同意”，但我看不懂原文了，怎么解释原句？
101. Even though the direct costs of malpractice disputes amounts to a sum lower than one percent of the $541 billion the nation spent on health care last year, doctors say fear of lawsuits plays a major role in health-care inflation.
(A) amounts to a sum lower
(B) amounts to less
(C) amounted to less
(D) amounted to lower（C）
(E) amounted to a lower sum
我开始以为dispute 是个动词，查了字典是个名词，表示“不同意”，但我看不懂原文了，怎么解释原句？
the word 'dispute' can be used as not only verb but also noun.
the verb in this sentence - Even though the direct costs of malpractice disputes amounted to less than one percent of the $541 billion the nation spent on health care last year - is 'amounted'.
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