Problems aren't an uncommon thing in hip-hop music. Ice-T had 99, so did Jay-Z. Homeboy Sandman has problems, but only some of them are the proverbial "bitches." Rapping about his general personal issues, the emcee touches on everything from being conflicted about possibly being a hipster to being unable to understand Kurt Cobain vocals. The somewhat light-hearted vocals are a stark contrast to the eery instrumental, making the whole the track feel very intentionally conflicted. The video attempts to mimic this tone by using a bad TV effect and de-saturated visuals. It's minimal but effective.
Enjoy the song? Be sure to check out Homeboy Sandman's official page at HNHH for more.