"Vancouver" was a reflection of Good's experiences and opinions of his hometown. "It's kind of like the way we were, the way we are – that kind of thing," Good has explained, referring to a sense of the city's "depletion", mostly in regards to the situation in the Downtown Eastside. The album also continued to explore Good's personal life, including his mental illness. He later described the recording of "Hospital Music" and "Vancouver" as having together "closed chapters" regarding his personal life, allowing him to focus his energy on a stylistically different project for his next album.