Lyric discussion by _Selene_ 

Cover art for My Skin lyrics by Natalie Merchant

"They say that promises sweeten the blow. But I don't need them, no I dont need them". I think that she means that shes sick of everyone saying that its going to be ok, when she knows that it isnt going to be alright. Shes sick of them promising/praying for her when its a holpless cause.