What a world, what a world . . .

How does one write the ending of a life. For that matter, when does one know it's the last chapter? Circumstances can appear to be the ending chapter but in actuality be only the continuance of the story. I am at that crossroad, not knowing whether this is the end or the beginning of a new story line. Nonetheless I'm tired. I could go either way with no regret. Let me tell you about my current life, should you be at all interested . .. I am in a living purgatory, transgender without the financial means to complete my physical transition. This leaves me in a state of self-loathing in regards to my body in its present form. I'm not the only one in this state so I don't ask for any special privilege. In the more advanced nations of this earth the medical treatments of my condition are addressed by their health care systems. In the United State this is not the case. Why is this? When did greed overturn humanity? I need to get out of here. Help.