In this song, the fine state of Idaho is used to represent a case of paranoia - the lyrics "get out of that state" meaning to get out of that state of mind. B-52s singer Fred Schneider came up with the title, which was a play on the phrase "Private Eye" well before Hall and Oates used it in a song with a similar theme, but with hand claps
Why Idaho? Schneider explained to the Idaho Statesman
that it was the wacky reputation of the state, saying, "Idaho is pretty mysterious to all of us. I know it's a beautiful state, but then I know there's also a lot of crazy right-wingers and all that stuff." He added, "The song's about all different things. It's not like a parody of Idaho or anything."