They must be talking to themselves Hov, hands free

from Drake (Ft. Jay Z) – Light Up Lyrics on Rap Genius

Meaning

People talking on “them cells” (homophone) with a Bluetooth device often look like they are talking to “themselves” like a schizophrenic maniac; this is what other rappers sound like to Drake, since nobody listens to their music. They couldn’t possibly be talking about Drake, that would be silly of them

Ever enter into a conversation with someone, only to discover 5 minutes later that they’ve been talking to someone else on the phone using a hands-free device?

Could also be referring to the Jay-Z song The Prelude in which Hova raps “ Just sent a million dollars through a hands free/That’s big money talk, can you answer me?”.

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