TY BAKER
It's a song about a former ballet dancer dying of AIDs. "They search for an answer" is AIDs research. The "old man" is probably Ronald Reagan. When Nancy asked him to do something about AIDs, he said "Those who live in sin shall die in sin.”
The boy in the red shoes is the same dancer, in his youth.
That, or Elton John is a sexual predator who has been grooming Ed Sheerhan as his MKULTRA illuminati sex slave (and biological son) all these years.