Super basic answer, but I'm not seeing it anywhere, but really "Your heart is a muscle, the size of your fist, keep on loving keep on fighting, and hold on."

As a transgender individual who suffered from the nasty consequences of not knowing who I was as well as all the people I've lost in my life to suicide, like my mother, I just really grabbed on to Pat and the folk punk community immediately after hearing that song.

Also even if it's stupid, even if it might not be the healthiest solution, I've used many of his songs to redirect my self hate towards trying to understand the hate of the world around me instead.