Insufficient funds and staffing make poorly. . .

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Insufficient funds and staffing make poorly run government institutions even less effective, further reducing confidence in them and thereby prompting more budget cuts.

A) Insufficient funds and staffing make poorly run government institutions even less effective, further reducing confidence in them and thereby prompting more budget cuts.

B) Poorly run government institutions are made even less effective, further reducing confidence in them and thereby prompting more budget cuts, because of insufficient funds and staffing.

C) Insufficient funds and staffing make poorly run government institutions even less effective, confidence in them is reduced, more budget cuts are prompted.

D) Funds and staffing that are insufficient make institutions in the government that are run poorly even less effective, further reducing confidence in the institutions and thereby prompting more budget cuts.

E )Insufficient funds and staffing make poorly run government institutions even less effective, further reducing confidence in them, which prompt more budget cuts.

A is the OA.

What is the difference between A and E?