i've been ruminating on this one for a bit. i think the formatting adds a lot of visual interest, i can feel the themes and emotions of loathing and frustration coming through, and i think some of the lines are quite striking. that being said, i struggle a bit to understand or conceptualize the delivery of meaning on the formatting, and i think there are a couple of times when it actively works against the piece as a whole, including in the middle where it makes a word seem like it's out of place (this could just be a mobile issue, possibly — i havent seen it on my laptop), and i dont get much out of the right-justification at the end. i also think there were a couple of imagery spots where you leaned too hard on cliche — "like clockwork" is immediately going to raise my eyebrows in a poem, and "like a starving dog" is also treading very familiar ground. i tend to be a lot more forgiving of this stuff in prose but i really think you could have taken the time, in two parts of the poem that are so emotionally weighty, to give us something fresher.
all this is to say that the poem as it exists now is *nearly* an upvote from me, i think, but doesn't quite make it. as an aside, it's good you removed that wikipedia link, as i probably would have downvoted immediately on clicking it. i think just a little more polish and eye towards the way you express some of these thoughts would push it into +1 territory but for now, novote. i do have to applaud you for creating something that you invest so much personal emotional energy into — my qualms here are mostly from a craft perspective.