I'm pretty down with all the complications we've layered over the paleolithic lifestyle.
It's also not true that labor is uninvolved with technology. If people are busy with the hum drum details of survival they have less time to try new ideas and the like.
Granted, yes, some things existed before this became the norm, like plagues and whatnot, but I think part of the reason we all need to be treated for medical problems is because of the nature of modern work being incompatible with human biology.
Indeed, if those paleolithic people worked 40+ hours a week, perhaps we would be really advanced by now :)
Should this be the case? Should we permit society to expand to a point in which it's impossible for people to opt-out?
I'm not comfortable with requiring all humans to be a part of society, but at the same time I'm not sure if there's a solution given the fact that resources are finite.