The title of the album was originally derived from an in-joke and story between Guy Kozowyk's family and friends, referring to the mentally disabled students for whom a member of Kozowyk's family drove a bus. This term eventually spread out to mean anybody for whom one provided service. The title reflects the songs, as the songs are stories from and about "clients", or mentally disabled people, with whom Kozowyk has had experience working in a convenience store located next to a psychiatric rehabilitation/hospital.
Each song is a different "client", or a different person with a mental ailment, ranging from schizophrenia, to multiple personality disorder, to extreme obsessive compulsive disorder. The song "Black Santa" would best describe the album and its meanings, as it actually depicts everything that is used as an inspiration in the album: Kozowyk's job, the people he encountered, the stories he heard, and the notion that everybody both has and is a "client", meaning everybody works for somebody, and that everybody is not entirely mentally stable.
I think that you're missing the point. You're someone else's pain in the ass. Get off your high horse. You are not excluded. We are all Clients. Get off your high horse. We are all Clients.
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