For me, the record deals with death, and that's something I need to deal with too.
That's interesting. I'd always taken the central theme to be about financial/work related desperation. Knowing that your artistic endeavors haven't taken off so you're stuck in work that you think you should have left behind years ago. It gets bad enough that you wonder, what's the use in living?
And then at the very end, you remember God, and it's not a direct answer but it helps nevertheless.