Lyric discussion by bwhittenj2025 

Cover art for A-OK lyrics by Motion City Soundtrack

to me it seems to be about someone with a seriuos problem (probalby drug abuse judging by the line "without medicine i can't pretend") that is very close to a member of the band.most of the song seems to be from the perspective of the band member recounting what his friend says to him, that everything is "A-OK."