The bulk of the song - the first verses and everything - were written for the film Miller's Crossing, directed by Sean Penn (hence the dedication "for Sean and me" in the album notes). But Duritz added the coda after the song was rejected by the movie producers. So, the bit "Can't you hear me?" is a personal complaint, very typical of Duritz at this period in his career, saying simply "I hate being famous, I can't go outside, I'm a nervous wreck, leave me alone!". So, the first 2/3 of the song relate to the movie, and the final bit is Duritz.
The bulk of the song - the first verses and everything - were written for the film Miller's Crossing, directed by Sean Penn (hence the dedication "for Sean and me" in the album notes). But Duritz added the coda after the song was rejected by the movie producers. So, the bit "Can't you hear me?" is a personal complaint, very typical of Duritz at this period in his career, saying simply "I hate being famous, I can't go outside, I'm a nervous wreck, leave me alone!". So, the first 2/3 of the song relate to the movie, and the final bit is Duritz.