This is about a battle with Saturn ascending and teaching us lessons over and over again until we get it right. "Saturn ascends, choose one or ten. Hang on or be humbled again" means get it right or Saturn will come around again teaching the same lesson until you do it. "The one the ten" could be the Aries and Capricorn houses in the zodiac (Capricorn is ruled by Saturn). A lot of what Maynard Keenan is saying relates to characteristics of a Capricorn. They are known to hold grudges and be control freaks. Maynard is an Aries, the true pioneer of the zodiac. It could be a message for all the caps and people out there who hold grudges.
The line, "Unable To Forgive Your Scarlet Lettermen" presumably refers to the classic novel The Scarlet Letter by Nathaniel Hawthorne. One of the main characters in the book is a female adulteress who is forced to wear a scarlet letter 'A' on her breast as punishment.
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