As China____________ the ranks of middle-income countries, the demand for healthservices has increased accordingly.
此处答案为joins,说是客观事实,我不是非常理解,“加入”这个动作不是发生在过去吗,为何不可以用joined?
As China has joined the ranks of middle-income countries, the demand for health services has increased accordingly.
改用目前完成时,说明 “已经进入这个行列” (不适合译为”加入“)。假如时间从句用过去时 joined,而主句是 has increased,导致时态不同。