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Why do some refer to life as a gift?

Seems like life is only a gift if you are rich, have a great family, perfect health etc.

What I see is people who are struggling, whether it be financially, mentally, physically etc
People are stressed, overworked and overwhelmed.

What's the "gift" in that?

I know someone is going to say, " but you are alive!".

My response: What's the point if every day is full of stress, and problems?
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You have the ability to choose how you view life. Life has its ups and downs. Struggles help you develop strength. You can learn how to cope with stress. Find ways to be happy. Everyone struggles. Part of life. I understand the gift of a breath and of life. I was an RN for 28 years. I saw life and death. Now I work with people in another career. If you never see or learn the value of life, I feel sorry for you. You can help others who need help. That is another way to be grateful for the gift of life. Lots of ways to learn. Find one or more. Be grateful to be alive. Many who died would still like that gift.