The author feels hurt that some friends and family consistently forget their birthday each year. They question whether these people truly care about them and if they would make more of an effort if the author was more special. The response suggests that the author controls how much things bother them and that they should ask why birthdays are so important to them. Sometimes people get busy and forget birthdays by accident, and others may not place high value on birthdays. The author is advised to care more about themselves and appreciate themselves, rather than worrying if others appreciate them.