Lyric discussion by R-Dot-Yung 

I think this is just the wife asking, "couldn't you have stopped this from happening".

The album isn't about Sylvia Plath, its about a couple dealing with a cancer death

I think you're both right. In the linear notes at antlersmusic.com/linernotes.pdf

He calls the song 'Thirteen, Or Sylvia Speaks' I think he's comparing Sylvia Plath to the cancer patient, as he does in 'Sylvia' because of the hopelessness and cries for help.

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