(A) provides a reason why medical staff are gonna have to run around fetching files even though no one’s asking for them – we gotta have the files all prepped and ready regardless.

Framing the question correctly is the true crux. Once you’ve done that, recognizing (A) as a match should be a snap.

(B) is wrong because it doesn’t address the gap between we’re running around all day fetching files and no one’s asking for files.

Even if it’s just the lowly interns running around, we’re still left wondering why they’re running around if no one’s actually asking for their files.

This answer choice is probably best understood as bait for people who think they’re in a strengthen or weaken question.

(C) does crank up the volume on the doctor’s first reason – not only are medical staff wasting time fetching files, they’re also wasting time explaining all sorts of dumb stuff!

But it leaves the same lingering question as the stimulus: what if literally no one’s asking to see their medical records? How much time are they wasting then?

(D) is wrong because considering whether or not doctors can charge for their time doesn’t help us understand why medical staff are gonna have to run around fetching files even though no one’s asking for them.

If you’re asking the right question, seeing that (D) doesn’t answer it is a snap.

(D) is probably best understood as bait for people who think they’re in a strengthen or weaken question.

Are these doctors wasting tons of time running around fetching records? Or have they not wasted any time because no one has asked for their records?

(E) says the scenario the doctor describes has been happening in the real world for a while now, but it doesn’t address the gap between we’re running around all day fetching files and no one’s asking for their files.