What grabs me eye into the image is definitely the colours, the three RGB tones are the main characters here and create different atmospheres while we start to discover the iconographic and linguistic elements in this piece. It's challenging to use such a colour palette for a dark image, but it completely works.

Composition works fine; it's not the most risky one but It's been developed nicely because of the symmetrical touches and the good placement of colours (otherwise our eyes would dance all over the image without finding any focal point).

The messague behind this image is good, and it sure reachs every viewer. It's kinda ironic and sad at the same time and it may reflect human conditions if we go further than the surface of this piece. The dialogue between viewer and piece is clear .

But in the other hand, I think the piece needs to be more "destroyer". It needs higher contrasts and more violence between the colours and the B/W. I think that leaving some absolute blacks would help to make stand out the focal point, as well as shading a bit more the being in the wheelchair, it needs to pop up. Definitely, the image needs to be more dramatic. It already has enough impact, don't get me wrong, but it could go further in my opinion.

More than that I think you developed it nicely, maybe you just have to forget the image for some days or weeks and retake it later and see what happens!