This song to me is that the singer has inner demons he cannot shake off or has another personality that has damaged his life. (I see it that why because that is what has happened to me.) the dead or still alive part means that he/i don't care if that personality sticks around because he's/i'm doing everything in their power to fight through it, and deals with the fact that he might not be able to change, but that doesn't stop him from trying...
This song to me is that the singer has inner demons he cannot shake off or has another personality that has damaged his life. (I see it that why because that is what has happened to me.) the dead or still alive part means that he/i don't care if that personality sticks around because he's/i'm doing everything in their power to fight through it, and deals with the fact that he might not be able to change, but that doesn't stop him from trying...
thats my take on it