Full house on my hands, the cards I was dealt. Three K's two A's in AmeriKKKa.
Full house reference symbolizes "it's[Joey's] a lot on my hands. And three K's two A's, of course that's a poker reference. That's pretty much self-explanatory."
3 K's symbolize "the super corrupted side of the country [America]."
Die from the sicknesses if we don't seek the health (paradox)
Relates simply to a way of staying healthy as a human being in the form of a paradox
All eyes be my witness when I speak what's felt. Full house on my hands, the cards I was dealt. Three K's, Two A's in AmeriKKKa. I'm just a black spade spawn out the nebula (quatrain)