The song is typical of the style Everlast embraced after leaving hip-hop trio House of Pain, being a combination of rock, hip-hop and blues incorporating characterization and empathy towards working-class protagonists.
Structurally, the song consists of three verses, a chorus and a bridge. The last line of the chorus varies in accordance with the particular situation faced by the character in the preceding verse. The characters are:
Each character is presented in a sympathetic light as a victim of circumstance and as being an object of derision. Each verse ends with the line God forbid you ever had to walk a mile in his/her shoes and Cause then you really might know what it's like to, with the action varying depending on what the character has to do (sing the blues, have to choose, and have to lose, respectively).
At the end of the music video for the song, all of the characters (along with other people) are crowded around a window. Behind the window, an idyllic family is having an enjoyable dinner, oblivious to the less fortunate who are outside.