In this excerpt, I believe the old man is staring to feel like a caged animal. The government aren’t supplying them with any toiletries to keep themselves clean neither are they providing them with showers. He makes a reference that the institution will become a sewer because the toilets will soon not work and let alone since they’re blind most of them are probably defecating on themselves. The old man wants his wife’s help since she’s the only one who can see but he doesn’t want to risk blowing her cover and having something terrible happened to her whether it be the other internees attacking her or the government shooting her on sight. He’s convinced the government looked them in the institution and left them to die.
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