A track from Cold's first album, "Insane" is about drug abuse, and how even the purportedly sane people out there have their own problems. In this case, lead singer Scooter Ward's problem is drugs and their hold on him. He wants the more privileged to stop using as well: "Can you give back to God what brought you here."
Ward spent the next 10 years fighting his addictions. Many subsequent Cold songs deal with those struggles.