No matter how I struggle and strive
I'll never get out of this world alive

from Hank Williams – I'll Never Get Out of This World Alive Lyrics on Rap Genius

Meaning

When life seems to be truly bad, it always appears to get worse. Even though Hank wants to be comfortable and happy, life keeps pushing him into the storm. Even when he tries, he is left with the reality that life ends with death alone.

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