The song deals with the issue of child abuse. On a 1987 Swedish television special, Vega revealed her inspiration for writing it:
A few years ago, I used to see this group of children playing in front of my building, and there was one of them, whose name was Luka, who seemed a little bit distinctive from the other children. I always remembered his name, and I always remembered his face, and I didn't know much about him, but he just seemed set apart from these other children that I would see playing. And his character is what I based the song Luka on. In the song, the boy Luka is an abused child—in real life I don't think he was. I think he was just different.
This video was directed by Michael Patterson and Candice Reckinge. It was shot over three days, in New York City. The part of Luka was played by actor Jason Cerbone, who was chosen after the directors auditioned more than 90 children for the part.
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