Lyric discussion by RamuneDrink 

I agree with Dylan. I think it's likely that the eponymous Juliette is actually some familial relation, he's simply gotten to know her more on a friend-to-friend level than mother-to-child or what have you. He goes to visit her for the last time, and they both know it. I think that's what's the most sad about the song - the loss of a loved one, even if they've come to peace with it, can sometimes be hard to bear.

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