It's clearly bringing light to drug abuse. After she pops that drug in her mouth she starts going crazy. Her whole song is about showing the bad side of drug use for her younger fans, ever since that 5 year old died during her Red concert for a cocaine overdose.
Fiddle is another name for the bowed string musical instrument more often called a violin.There are no real distinctions between violins and fiddles, though more primitively constructed and smaller violins are more likely to be considered fiddles. Fiddle is also a common term among musicians who play folk music on the violin.
All of my friends love the video...every. single. one.
And the general consensus seems to be "Hmmm I don't know what happened, but I'm really liking her this time." What happened is that you were stupid and needed to be enlightened, but I'll let it pass because for once everyone is loving her.