When you are born you are completely dependent upon others for your care. You can't even change your bottom.
As we reach the final age we tend to return to that very same state where we require the complete care of others.
"How we started - we end our days."
It may be echoing Wordsworth's "the child is father of the man," meaning what you become is what you always were. It contradicts Thomas Wolfe's "You Can't Go Home Again," which says that the place you begin will never be there again.
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i think it means a complete life.. from the start to its end, a full circle travelled..
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