I really like this poem for a few reasons. I am no expert on poetry so I will try my best to try and say what I feel.

Firstly, the way that the poem progresses from the symptoms of it, to more sophisticated metaphors and analogies which really make the entire thing come more to life. I especially like the line, "And now in a Mad Max world of his own rendering" because for me at least, that line really speaks to me. Definitely keep that line as it is. Another line I am fond of is, "No bets are placed and so the house always wins"

However, I think you should edit this slightly to make it flow a bit better, so that the rhyming structure is perhaps a bit more uniform. It is primarily around the introduction of the poem you should focus on editing and rewriting.

"A one year pin once again" is another line I enjoyed. Perhaps you could use the idea of the sharpness of the pin with the dullness of his sight? Just a thought.

Overall, a good piece that could become great with a small minor adjustments.