Marsha, Thankk You for the Dialectics, but I Need You to Leave

They could prescribe you any illness you'd like if you define the terms of your ailments
 You could sing a pretty malady like a black canary
 But a crow don't know the smell of carbon monoxide
 How many years have you been on that couch?
 They could've quilt'd you in the throes by now
 You draw a line in the sand where it ends and you begin
 But the tide rolls in, so who knows? Oh, well
 And a little identity never hurt nobody, but lately you've been focusing too much on yourself
 So how many milligrams of you are still left in there? Whoa
 'Cause back in my day we didn't need no feel-good pills and no psychiatrists
 No, we just drank ourselves to death
 God-damn it, we liked it
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 Who makes the call?
 What's a symptom, what's a flaw, can it be both?
 Well, I suppose that's an answer
 Would you give up your humanity for just a touch of sanity?
 'Cause God knows it's not like it's cancer
 And good news to the purists, they've discovered a cure for the symptoms of being alive
 It's a painless procedure with a low rate of failure
 But very few patients survive
 And a little conformity never hurt nobody, but lately I've been worried that you're losing yourself
 So how many milligrams of you are still left in there? Whoa
 'Cause back in my day we didn't need no feel-good pills and no psychiatrists
 No, we just bled out in our baths
 God-damn it, we liked it
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 Doctor, what's my prognosis if the studies show that
 Disease is in the eye of the beholder?
 Tell me "So it goes"
 We depress to impress, I guess, in layer after layer to get off our chests
 It's cold out now, we can take it off later
 Better safe than sorry, and we both know the danger
 So doctor, could you run another test?
 Got a feeling that this time I might just pass it
 Well, if you raise the average
 We'll all sing when the bell curve rings in lyrics symptomatic of the way we think
 And our harmonies don't sync, we can change our voices
 A chorus on condition of our diagnosis
 Back in my day we didn't need no feel-good pills and no psychiatrists
 What can I say, except don't heed no evil wills of moral nihilists
 I said, "Back in the days of lobotomies and shock therapy and mad scientists
 Oh, don't you make me waste my breath
 God-damn it"
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 Ain't your you-dentity at stake?
 Does aspirin kill you with the pain?
 You're not your thoughts, you're not your brain, you're just the character you've made
 Up in your head, down in your heart, what seem like separate body parts
 Come together to believe they're you, and not just chemistry
 It's not the way that you were raised, or what the advertisements say
 Not what you pay for, what you pray for, what you want, or what you say
 And I see your tendency to redefine disease by what you need
 And I'm afraid I can't prescribe the diagnosis that you seek
 And something tells me that you need, forgive me now if I misspeak
 But something tells me that you like, and something tells me
 You prefer to be sitting there flipping through those old issues of people
 Well, that's our time, see you next week