The Grand Old Reason is a song about grappling with the concept of mortality and trying to find meaning in life. The lyrics reflect on the inevitability of death and the fear that comes with it. The song acknowledges the struggle to maintain hope and faith in the face of this fear. The line "while you lay black and blue under the weather" suggests a physical illness or struggle that the speaker and perhaps someone close to them is going through. The "dark tries light" line could mean that even in the midst of darkness, there is still a glimmer of hope or potential for light. The chorus speaks to the human tendency to hold onto life, even when it becomes painful or unbearable. The speaker acknowledges that they, like the person they are addressing, do not know what comes after death. The phrase "we'll all miss you to death when you go" emphasizes the finality of death and the weight of losing someone. The verse about the hospital bed and the life draining from the person's head is particularly poignant and provides a concrete image of the struggle and pain of illness and death. The final lines express the speaker's uncertainty about their ability to cope with the loss, but their determination to try. Overall, The Grand Old Reason is a powerful and emotional meditation on mortality, loss, and the search for meaning in life.