More or less, it's referring to doing things because you want to and not caring what other people think. Many times, people will try to talk you out of you pursuing your passion in life. Not giving a fuck allows you to filter the BS and do things on your own volition.
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Someone once told me that if you aint gonna give a fk, you must have first considered what the outcome of not giving a fk maybe and if they are things you can handle
In that case, we all have different measurements for what we can and can't handle!