Even when partying, travel, and sex figure highly in one's alternative lifestyle, you're not necessarily getting anything meaningful done with your life, and probably putting yourself at a competitive disadvantage economically. And you're still either working to maintain that lifestyle, or it is your job, and less fun because of that.
It's not necessarily a false dichotomy, but there ain't no such thing as a free lunch: there are opportunity costs to both paths. If you're dedicated, you can work out a way to fill your hours with travel and hedonism: and then one day you wake up and you're 40, you have no close friends or career prospects, and a worn-out liver.
I don’t think it’s a forced dichotomy when I contrast literally living in a cupboard and coding for 16 hours a day with having any sort of other existence during potentially the most energetic decade of your life.
I don't think living like that is a conscious decision though. It's probably more likely for someone like the closet-guy that he's an outsider anyway and at some point along the way just thought to himself "fuck it, I might just make the most out of it now" and hope for better times in the future.
When it comes to living life I'd rather go with 'A bird in the hand is worth two in the bush.' And I say this as someone who's worked hard in their 20s to let go of nerdy and awkward behaviour to be able to more fully enjoy my life NOW.
We try to maintain a false dichotomy where the alternative to working extremely hard is partying, travelling the world, and of course tons of sex.
Most people don't do either.