When it boils to steam, it comes to it
We all fiends, gotta do it, even righteous minds go through this

from Jay Z – Can I Live Lyrics on Rap Genius

Meaning

He is suggesting throughout the whole album how his own doubt about life, turned into a drive to succeed. Here he implies that even “righteous” minds go through doubt.

Also, he could be saying that when you get fed up enough with your circumstances (growing up in the mean streets of NYC), that hustling is what it comes down to. The second line is saying while he isn’t the drug addict, he’s a fiend in his own right for money, and even righteous people get addicted to making dough.

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