"New York Is Killing Me" by Gil Scott-Heron is a song that explores the overwhelming and detrimental effects of city life, specifically in New York City. The lyrics depict the struggles and difficulties the narrator faces while living in New York and their longing to return home to Jackson, Tennessee. The song begins with the narrator expressing frustration with doctors who seemingly don't understand the toll that New York City is taking on them. They feel that the fast-paced city lifestyle is not what it's portrayed to be and it's "cracked up" with false promises. They yearn for a slower pace of life and a sense of familiarity back home in Jackson. The narrator reflects on the isolation they feel in New York, despite being surrounded by millions of people. They don't have any close friends and feel disconnected from their surroundings. The lyrics convey a sense of desperation as the narrator feels nearly dying and realizes that they need to start over and move back home to regain their health and sanity. The plea for mercy from the Lord emphasizes the plea for relief from the overwhelming pressures of New York City. The narrator asks for forgiveness and asks to be able to return home, hoping that their body can eventually be laid to rest in Jackson, Tennessee. Overall, "New York Is Killing Me" is a poignant commentary on the negative effects of city life, the longing for a simpler and more fulfilling existence, and the desire to find solace and peace in one's hometown.