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The poem is presented in a stream of consciousness literary format.
America is a largely political work, with much of the poem consisting of various accusations against the United States, its government, and its citizens. Ginsberg uses sarcasm to accuse America of attempting to divert responsibility for the Cold War ("America you don't want to go to war/ it's them bad Russians / Them Russians them Russians and them Chinamen. / And them Russians"), and makes numerous references to both leftist and anarchist political movements and figures (including Sacco and Vanzetti, the Scottsboro Boys and the Wobblies). The poem ends with Ginsberg putting his "queer shoulder to the wheel", although the original draft ended on a bleaker note: "Dark America! toward whom I close my eyes for prophecy, / and bend my speaking heart! / Betrayed! Betrayed!"
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