The song specifically links the poor response to the hurricane to the commitment of resources to the war in Iraq, and to the social status of most victims of the disaster.

The song was reportedly written by Chuck D on September 2, 2005, and reunited Flavor Flav with Public Enemy for its recording over Labor Day weekend.

In addition to Bush and the Bush administration, the song also levels barbs at Pat Robertson (who had recently called for the assassination of Venezuelan president Hugo Chávez), Halliburton, and the characterization of blacks as looters following the catastrophe.

The refrain of the song repeats the line, "New Orleans in the morning, afternoon, and night/Hell No We Ain't All Right".

Similar themes were explored in a contemporaneous song, "George Bush Doesn't Care About Black People", a remix of Kanye West's "Gold Digger" by "The Legendary K.O.