Take him when he may, if He may
I'm not afraid to say
That I'd die without him
Lana knows that since this man is old and a crook that it’s quite likely he may die soon.
Despite the fact Lana knows he will inevitably die before her, she stays with him. She feels like her world will be over when he is not in her life anymore.
To help improve the meaning of these lyrics, visit "Off To The Races" by Lana Del Rey Lyrics and leave a comment on the lyrics box