Dave Mustaine wrote this song. The lyrics are about not being able to trust someone you love; possibly an infidelity or a suspected infidelity between a couple causes great pain for each member of the relationship. It makes some commentary on the hopelessness of relationships when you can't trust your partner: "Why does Trust have to equal pain?"
Suggestion credit: Jeremy - Shelbyville, KY
Liz Friedlander directed the music video. Megadeth doesn't use genre-specific directors - Friedlander's other clients include Alanis Morissette, Celine Dion and Ashlee Simpson.