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For me the singer's hand is distracting. If the shot were taken at a point where it doesn't obstruct the singer's face, it would help the composition greatly. The crop could also have benefited from a little more space on the RHS, as the current crop is a little claustrophobic as mentioned by Focus_Man above.
Yes, I see what you mean, but losing the 'white thing' (which was an operating table) would also mean loosing his knees. I'd normally leave a cropping decision like that to an editor/designer.