Lyric discussion by KobayashiJT 

The song's meaning is deliciously straight-forward: she isn't going to rehab because the problem isn't her drinking, it everything that drives her to drink. Going to rehab won't fix anything, and listening to soul records and drinking are her ways with coping with how she's screwed up. So in turn, going to rehab won't change anything: as long as she's messing up in this, that or the other, she'll still be drinking and listening to Ray Charles records; rehab is a waste of everyone's time, in her eyes.

I don't see the song as an overall rejection of the institution of rehabilitation facilities, but rather a rejection of her being an alcoholic.

I completely agree with you. You can take painkillers, you can take anti-nausea medication, but they only treat the symptoms of the problem. Once they wear off, you're right back to square one.

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