The more anxious isolated and time-deprived we are the more likely we are to turn to paid personal services. To finance these extra services we work longer hours. This leaves less time to spend with family friends and neighbors we become less likely to call on them for help and they on us.
I do believe that most men live lives of quiet desperation. For despair optimism is the only practical solution. Hope is practical. Because eliminate that and it's pretty scary. Hope at least gives you the option of living.