Think the old silent picture, Metropolis, George Orwell's 1984 and one can begin to see these lyrics in an interesting context...
The dehumanizing of, well, humans, society doing its damnedest to make automatons of us all (and it's been pretty successful if one takes a moment to think about it.)
"I need my treatment it's tomorrow they send me singing I am an American. Do you?"
The artifice of being an American.
That's the Readers' Digest condensed version.
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