Sia explained on multiple occasions that the title's inspiration came from her realization of being privileged:
During recording people would come in and complain about traffic, and I'd say, 'Some people have real problems.' Like, they're waiting for a lung or they don't have a mum. I thought it would be a funny name for an album. And then I thought if I were to get rich and successful I would remember to not turn into an asshole. But I am one, so it didn't work.