D - He knows that life is a cycle of death and rebirth.
In my opinion, from this excerpt, the only thing that can be seen is "suffering". He had absolutely nothing in his youngest years, he was as poor as a church mouse, but not only that, he apparently had nobody to be there for him. To me it shows a great deal of pain and sadness, and that is evident in this paragraph.
Meter - Meter is a stressed and unstressed syllabic pattern in a verse, or within the lines of a poem. Stressed syllables tend to be longer, and unstressed shorter. In simple language, meter is a poetic device that serves as a linguistic sound pattern for the verses, as it gives poetry a rhythmical and melodious sound
My favorite writer is Stephen King. I suspect he gets a lot of inspiration from his enviroment. He writes a lot about his hometown of Maine and seems to get most of storylines from the silent town he resides in. Hope this helps!