This song has a couple of elements. The main one is speaking of back alley abortions, as most people think, but it also references illegal sex-changes as well, both of which are things that Amanda has obviously written about before.
Basically, she's writing as if she is one of those shady, unethical doctors that preys upon desperate people, people who can't afford medical procedures, supposedly "elective" ones like gender-reassignment and those young girls who can't go to their parents and admit that they're pregnant.
This song has a couple of elements. The main one is speaking of back alley abortions, as most people think, but it also references illegal sex-changes as well, both of which are things that Amanda has obviously written about before.
Basically, she's writing as if she is one of those shady, unethical doctors that preys upon desperate people, people who can't afford medical procedures, supposedly "elective" ones like gender-reassignment and those young girls who can't go to their parents and admit that they're pregnant.