Written by Sandy Knox and Steve Rosen, this song is about a young woman who contracts AIDS after a one-night stand. She "let a stranger kill her hopes and her dreams" and can barely remember his name. The beginning of the song made a point of how she was usually very cautious and got to know her sexual partners well, and that the one-night stand was out of character.
Sandy Knox drew inspiration for this song from her brother, who died in 1984 after receiving a blood transfusion. Knox also co-wrote McEntire's duet with Linda Davis, "Does He Love You."
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