Very tightly crafted, I caught that at 1st read. Had to reread the prologue to see how that fit into the whole flow/scheme of your spit.
You have a real handle on imagery, and painting scenes. You called forth a lot of injustices in this poem that others are aware of...but the way that you constructed them gave them a life all unto themselves.
Very good wordplay...your phonetics seem to bend back onto themselves at times...which is one of my favorite devices. I can imagine that this would get a very good response if read/performed aloud.
Now...for the critique...
Your subject matter was a tad cliched. No fault of your own...but most of the injustices you brought up in the piece have been discussed before, and in more detail.
The part of the piece that I really wish you had expounded on was the correlation of your mom having cancer and the choice you made of both "life and death". That one couplet was a monster...and the realness of your mother's illness brought a personal sense to the poem that wasn't present before. I would have been interested in seeing you expound more on that.
As is, very nice poem...please don't take my criticisms as me saying I didn't like the piece. However, as artists, we always have to strive to break out of our comfort zones.
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