At that point you can't even call it karma. It's just damnation. It doesn't matter how hard you try to change or reform, or how much you grow. You always need to be ready to pay any price for any past mistake as many times as it's asked.
Madness string 111481
One patch of black ice. I lost my ability to walk, my career, my house, and nearly my kids. One patch of black ice away from ruin. Welcome to America.