Rufus Wainwright combines with JAPW vocalist Joan Wasser on this song reflecting on the state of the nation. Wasser had in mind her recent loss of her mother to cancer when she wrote this. She explained to the Independent newspaper June 6, 2008: "'To America' is about the relentlessness, the ruthlessness of disease. And how it has no feelings. And it just goes until it's done. I also had America represent one's mother. Because it feels like my country has a disease. And I'm looking forward to some sort of relief from that disease. I'm not expecting a miracle. Just a return to some semblance of democracy."