In the early 2010s, Roland Orzabal's wife, Caroline, developed alcohol-related dementia, and he spent the next five years as her caretaker. She died in the summer of 2017.
This fiery, yet intimate song finds Orzabal recalling sitting in Caroline's hospital room when she was very ill. He looked across the ward at other patients, wondering when they would be more dead than alive. Life is crazy, then it all turns to dust
Will you let them out?
Will you let them in?
Will you ever know when it's the tipping point, the tipping point
Orzabel told Rolling Stone
the lyric finds him questioning whether he will recognize the "Tipping Point," meaning, "when a person has crossed that threshold from life to death."