Thank you for your detailed response, David.
The tag on this piece is “unrequited love”. I suppose one could also categorize it as a “revenge” poem! I am not a constant gardener of poetry. My poems are more of an emotional pressure relief safety valve. So, yes, they all are auto-biographical. In this case, I fell madly for a woman 14 years younger than myself and our affections were mutual, but…and this is a very large B U T, she just wasn’t THAT into me and over time just couldn’t figure out how to let me down. In the end, she just ghosted me. I thought I was dealing ok with that, but eventually, a cathartic magma bubble welled up and out popped this poem and that was that and I was able to move on.
This recent Medium story wraps all this up nicely by reminding us that, “We have no right to a person simply because we like them or even because we love them.”
As to the unrelated issue of medical cost financing please just let me refer you to this comment I have posted many times here at Medium concerning that topic. In the comment when I refer to “states” I am referring to the individual US state governments as opposed to the federal government.