Its seems clear from the title "Time to Pretend" and the major line of the Chorus "We were fated to pretend" that mgmt is condemning the lifestyle described in this songs as escapism. The intro verse glamorizes the idea of eschewing life in favor or only having fun in your prime. This is shown by the contrast of the later verses talking about leaving behind family and freedom and dieing vomiting. Although this appears to be the main theme of the song there is a secondary theme that sympathizes with the careless pleasure seeking lifestyle. In Time To Pretend mgmt is saying that they understand why this lifestyle is so appealing- the alternatives appear to be an office job, a commute and boredom - even so those who succumb to that lifestyle are "fated to pretend".