My intention with this piece was to comment on the lack of services that so many people across the world need and don't receive--be it healthcare, proper nutrition, or some type of thetherapeutic services. However, the first person who saw this piece believed it to be a commentary on drug abuse, which also makes perfect sense. Really, it is up to the viewer to assign their own personal meaning to the piece.
The background serves as a juxtaposition to further emphasize the struggling, emaciated subjects in the piece.