Its not 1 because Pilgrams were Christians while Puritans were Catholic.
Its not 2. Because of prior research.
Its not 3, because of logic.
Its not 4 because of the distance of where they lived.
So my logical guess is NUMBER 5.
...Charged very high prices to move farm products to market
The farmers felt the railroads had monopoly power over them. The farmers essentially had no choice but to send their crops to market on trains. There was not much, if any, competition on most short-line tracks that went through farm areas. Therefore, most farmers had to simply accept whatever price railroads charged to transport crops. Farmers felt the railroads could gouge them by charging high prices and that they, the farmers, had no recourse when this happened. They blamed much of their trouble on this monopoly power.
Answer:
The money the church payed for the hospitals would change how they were treated, because with the money they could further invest in appliances that could further help the patiences with their stay.