If you know that life is basically going to be horrendously difficult at best and all but unlivable at worst or possibly even unlivable do you go on? And the choice to go on is the only thing that I think can be called hope. Because if hope isn't forced to encounter the worst possibility then it's a lie.
You have to have hope. It's irresponsible to give false hope which I think a lot of playwrights are guilty of. But I also think it's irresponsible to simply be a nihilist which quite a lot of playwrights especially playwrights younger than me have become guilty of.
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As I travel across the country speaking about MS perhaps I can offer others comfort and hope.