It is better to spend money on preventing illnesses by promoting healthy living rather than spending it trying to make people better after they are ill.为什么rather than 后面要用动词的ing形式spending?它前面不是to do么?

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It is better to spend money on preventing illnesses by promoting healthy living rather than spending it trying to make people better after they are ill.为什么rather than 后面要用动词的ing形式spending?它前面不是to do么?

It is better to spend money on preventing illnesses by promoting healthy living rather than spending it trying to make people better after they are ill.为什么rather than 后面要用动词的ing形式spending?它前面不是to do么?
It is better to spend money on preventing illnesses by promoting healthy living rather than spending it trying to make people better after they are ill.
为什么rather than 后面要用动词的ing形式spending?它前面不是to do么?

It is better to spend money on preventing illnesses by promoting healthy living rather than spending it trying to make people better after they are ill.为什么rather than 后面要用动词的ing形式spending?它前面不是to do么?
preventing illnesses by promoting healthy living 和spending it trying to make people better 是并列的,
前边是preventing后边就用spending

和 by 后面的promoting healthy living 是并列关系

花钱通过促进健康生活来预防疾病比花钱在人们生病后治疗他们更好
这个spending相当于跟在on后面

我觉得这里的spend应该用原形,因为它是和前面的spend并列的,或者把spending It省略,这句话也对。