This is a simile.
A simile is a comparison using the words "like" or "as."
Repetition usually tells us that the someone wants a large emphasis on this word: that it has a significant meaning to them, and/or possibly the whole tale itself.
Then write it idek what to tell you
Answer:
It reveals his sense of agency; he makes choices to help himself.
Explanation:
Vladek's character and personality was shaped according to his experiences of the Holocaust. He has been prescribed various medicines from the doctors for his heart disease and diabetes. He also consumed lots of vitamins. He is fed up with the consumption of numerous pills. This situation presents the picture of the struggle to fight the ills of holocaust. Vladek's words presents the metaphorical image of struggle that he has to undergo. He finally comes to the conclusion that he needs to stand for himself so as to come out of such a condition.