lol @ people suggesting she pander to radio now. That's all she's ever done and they've been so used to using her, so the second she switches it up (E.T. in the UK, TIHWD in the US/WW, EDIAH in general) they have a fit and won't play her songs. It's comedic.
And y'all still call it "Disease" and refuse to believe that it was the third best single choice of the era and with radio support would have been a perfect Style or Wildest Dreams sized hit (with better streaming numbers)? Yet most of y'all will stand by Birthday even though it showed signs of underperformance before its video.
