The final lines suggest that while the world eventually learned to listen to Vincent's art, they still do not fully listen to the struggles of those who are misunderstood today. Where to Legally Listen and Download
The song's imagery directly references Van Gogh's work and mental health struggles.
McLean wrote the song to argue that Van Gogh "wasn't crazy" but suffered from a genuine illness (often identified as bipolar disorder or schizophrenia) that made him see the world differently.
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