The song's lyrics implicitly blame American politicians, high-level military officers, and industry corporations on starting the Vietnam War. McDonald composed "I-Feel-Like-I'm-Fixin'-to-Die Rag" in the summer of 1965, just as the U.S.'s military involvement was increasing, and was intensively opposed by the young generation. It expresses discontent towards the process of conscription, through the use of dark humor, and culminating in a reflection of casualties of the war, as hinted in the satirical invitation to "be the first one on your block, to have your boy come home in a box". In addition, the song features a signature chorus: