This is a government takeover of our healthcare system. It is the government basically running the entire healthcare system turning large insurers into de facto public utilities depriving people of choice depriving people of options raising people's prices raising taxes when we need new jobs.
I think that concrete poetry seems to have as far as I can see come to a kind of a dead end. It doesn't seem to be going any further than it went in its high period of about five or six years ago.