The NHS should shift the focus to assisted or facilitated choice, providing experts and tools to help narrow down the possibilities to a manageable number and to offer support to those least able to negotiate their way around the service.
Is happiness really possible in a time of ruin? Can we somehow flourish, have complete lives? Is joy any longer compatible with the life of today? A deep sense of well-being has become an endangered species. How often does one hear “It is good to be here”? (Matthew 17:4, Luke 9:5, Luke 9:33) or Wordsworth’s reference to “the pleasure which there is in life itself”?1 Much of the prevailing condition and the dilemma it poses is expressed by Adorno’s observation: “A wrong life cannot be lived rightly.”2 In this age happiness, if not obsolete, is a test, an opportunity. “To be happy is to be able to become aware of oneself without being frightened.”3 We seem to be desperate for happiness, as bookshelves, counseling rooms, and talk shows promote endless recipes for contentment. But the well-worn, feel-good bromides from the likes of Oprah, Eckhart Tolle, and the Dalai Lama seem to work about as well as a Happy Meal, happy hour, or Coke’s invitation to “Pour Happiness!” Gone is the shallow optimism of yesteryear, such as it was. The mandatory gospel of happiness is in tatters. As Hélène Cixous put it, we are “born to the difficulty in taking pleasure from absence.”4 We sense only “a little light/in great darkness,” to quote Pound, who borrowed from Dante.5 How do we explore this? What is expected re: happiness? In light of all that stands in its way or erodes it, is happiness mainly a fortuitous accident?6 Very often, to be sure, happiness is approached in terms of what it isn’t. Walter Kerr’s The Decline of Pleasure opens with this: “I am going to start out by assuming that you are approximately as unhappy as I am.”7 “We are a society of notoriously unhappy people,” according to Erich Fromm.8 But we are not supposed to go around admitting this bottom-line truth about ourselves and society. Various contemporary theorists, by the way, have steadily chipped away at the very