On the bank of a mile-wide river, Alex dawdles and dreams.
It is true instead of relaxing, Alex could be working.
It is true instead of relaxing, Alex could be studying.
It is true instead of relaxing, Alex could be incapacitated physically.
It is true instead of relaxing, Alex could be incapacitated mentally.
It is not true Alex could be, if working, making money at it. Gainful employment is not available to Alex.
It is not true Alex could be, if studying, using his time wisely. Alex does not know how to read or write.
Would Alex make himself sick in order to avoid the tepid squalor of murky guilt? Yes.
Would Alex make himself insane in order to dodge the strichnine, arsenic, waterboarding, and solitary confinement of guilt? Yes.
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