The quote "The hospital bulked darkly in the darkness" from William T. Vollmann's book "Poor People" captures a haunting image, suggesting an ominous presence. The description evokes feelings of dread and foreboding, hinting at the struggles and suffering often associated with hospitals, especially in the context of poverty and despair. The use of the word "bulk" implies a significant, imposing structure, which contrasts sharply with the vulnerability experienced by those who might seek help within its walls.

This moment sets the tone for the exploration of difficult themes in Vollmann’s narrative. "Poor People" delves into the lives of individuals facing economic hardship, painting a vivid picture of their realities. The stark imagery emphasizes the often-overlooked difficulties that accompany illness and the systemic struggles within the healthcare system, particularly for the impoverished. Through this lens, Vollmann invites readers to confront the harsh truths of societal inequalities and the heavy toll they exact on those in dire circumstances.