I always saw Acts of Man and State Hospital as a pair. 
Having written State Hospital I felt like I needed a counterpoint which turned its gaze on the male of the species.
Maybe the two songs even intertwine. Perhaps the plumber had bits of vomit on his shoe when he took her home, maybe he lied and said he loved her.
In any case, I didn't want to complete or conclude either of the songs in a traditional 'story' sense.
They are each a surface peek into a million different stories, happening now, somewhere across the globe.