Lyric discussion by DeathRockBoy 

Cover art for The Everlasting Gaze lyrics by Smashing Pumpkins, The

My speculation is that Billy is speaking to God when he says, "You know, I'm not dead". He feels forgotten by God, forsaken by God and this is his (sarcastic) way to remind God that, hey, I'm still alive/help me out here. It makes sense if you think about it. When he says "And through us all, you move" he seems to be speaking about some kind of spiritual entity. Anyhow, let me know what you think.

@DeathRockBoy can see where you are coming from ... not sure I entirely agree but interesting concept and interpretation.