This song is sung from the perspective of a curtain-twitching shut-in. It starts with the line, "Oh what an ordinary day. Take out the garbage, masturbate." St. Vincent's Annie Clark recalled to NME: "I played that for my best friend and he just laughed at me, like 'The only thing you wouldn't do is take out the garbage,'" she recalled. "That's true. I probably wouldn't."

The song title is taken from a Lorrie Moore short story, Which Is More Than I Can Say About Some People, from her 1998 collection Birds of America. It comes from a description of the floor plan of a Celtic passage grave, which Moore called a "birth in reverse."

The final track on the St. Vincent album, "Severed Crossed Fingers," also takes inspiration from one of Lorrie Moore's short stories.

The video was directed by Willo Perron, whose company created the artwork for the album, which was the basis for the look. The concept is St. Vincent as a "near future cult leader."