Serving as the fourteenth song on her fifth studio album Lust for Life, “Heroin” is Lana’s favorite track on the record and also the longest one on the LP. It is a dark and dreamy pop ballad set in Topanga, California that finds Del Rey singing about the decay caused both by literal heroin and using dope as a metaphor for fame.

Lana namechecks band Mötley Crüe which had a member who struggled with heroin addiction and Charles Manson probably alluding to the Manson Family and their murders, following her tendency to explore the dark corners of American pop culture history.

Also there’s been some speculation the song could be at least partly written about Elizabeth’s ex-boyfriend Rob Dubuss, and there are several reasons for that:

1. Lana mentioned the song means a lot to her and is very personal. The lyrics suggest she is recalling some moments of her life that “make it hard to dream”. Also Del Rey adresses somebody with “you” several times in the track which means it has to do something with one particular person.

2. Rob actually died in the end of 2011, according to Lana’s and other people tweets. His death was because of a heroin overdose.

This fact is clearly referenced in the lines “How it [heroin] gave you everything and took your life away” and “Bad beginnin' to my new year”.

1. Elizabeth has recently brought up the topic of Rob, especially during the LA to the Moon Tour. She revealed her other song “Yayo” is about him and confirmed he was her ex.

So probably it is true Lana always sings about the same person, not only in Born To Die but her whole discography.