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Keaton Henson – To Your Health Lyrics 10 years ago
I think this song is about his addiction to alcohol and drinking. But to understand the whole meaning of it, we have to look at it, as he is talking to his mind and consince. He's struggling between his logical thinking and his needs and hunger. Make mine a pain in the neck" : He knows that being an alcoholic is not worthwhile. But asks his consence to make him guilty by having a drink.
"Here's to you, you old wreck." - He hates himself that he couldn't resist. He considers himself as he was an old wreck.
"And mine is a thorn in the side."
His source of pain is a thorn in his side. He feels very guilty, and this is a metaphore for his sins.
"Drink up so we can both finally die"
He's drinking to erase his pain. He just want to have his addictive and die after that. Or another meaning is: If he's gonna die because of drinking, then his sins gonna be forgotten as well and he's not gonna feel guilty anymore.

"And I'll have a bright yellow boat"
This is another metaphore. And it's about the meaning of colors. In color psychology, yellow is the color of the mind and the intellect. It is optimistic and cheerful. So this boat means his hope to have a better life. When he's gonna be fine without any pain.
"With nothing to row"
He's hoping that someday he's gonna be fine, but doesn't know how to make the first step. He's lost and doesn't have the strength to change.
"And why did she finally leave?"
Okay, so in this case "She" means the boat, not any girl or lover. So this phrase actually means that he lost his hope forever.

"Cause all you think of is me"
This is about the addiction itself. He couldn't make the change, because he is addicted.

And to make the whole song and message more painful he finishes with this sarcastic, sad sentence:
"To your health!"

He accepted he's not gonna change.

"So make mine a pain in the neck.
Here's to you, you old wreck."

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