This song is about teenage pregnancy. It tells the story about a young girl who gets pregnant, and her boyfriend and family don't care, hence the lyrics, "If you were here I'd never have a fear. So go on live your life. But I miss you more than I did yesterday." The lines, "Well don't I look pretty walking down the street in the best damn dress I own," indicate that the girl is full of herself and thinking she's really pretty so that any guy will like her. "We are young and we don't care. Your dreams and your hopeless hair. We never wanted it to be this way for all our life" is saying that she's young and doesn't care what she does, but she didn't want to be like that all her life and now she's pregnant.
Gerard Way, the band's vocalist, told Fuse the song starts with the same bass line as "Hypocrite" by the English alt-rock band Lush.
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