There are interviews in which Macklemore talks about his struggles with addiction. He also mentions how he's lost friends to addiction, specifically to Oxycontin. Those individuals (in particular, Kevin, probably) are the subjects of this song: "And now my little brother is in the sky/From a pill that a doctor prescribed/That a drug dealing billion dollar industry supplied." Retro-soul artist and collaborator Leon Bridges croons, "Doctor, please, give me a dose of the American Dream/Put down the pen and look in my eyes/We're in the waiting room and something ain't right/All this is on you, we're overprescribed".
The video is black-and-white and filmed in a broken down and decaying building. The focus is on Mackelemore's words and Leon's preaching. Listen, and take note.
"Kevin" by Macklemore and Ryan Lewis featuring Leon Bridges is off the duo's sophomore LP "This Unruly Mess I've Made" which will be released tonight at midnight. The album is still available for preorder, and the song is available for purchase individually and for streaming. The two are currently in Europe with their tour An Evening With Macklemore And Ryan Lewis.