I think you may be viewing "Requiem for a Dream" a little too metaphorically.
Requiem for a Dream is about people (with nothing in their lives) who become junkies. Having nothing in their life is the link to "Welcome to the NHK" which I understand and agree with wholeheartedly, BUT, at the end of the day Requiem for a Dream is still about heroin addicts.
It plays to an American audience where drugs are a serious issue, so comparing it to Welcome to the NHK has its limitations, and you certainly can't say that Requiem fails because it delivers the same message with less subtlety.
The core ideas are similar, but the problems are very different because they deal with two very different cultures. I have lived in the US and Japan and think both works are very important for their respective cultures. Certainly, the amount of drug-users/enablers I met in San Francisco is as shocking as the hikkokomori I taught english to in Tokyo.
We are living in a world where loneliness is very prevalent, yet both the US and Japan (and other cultures) deal with the same phenomena in different ways. I think both works are very truthful. Maybe Requiem felt "over the top" / "cheesy" to you because Requiem attempts to show not only the horror and despair of drugs BUT also the fun of drugs (this is why so many scenes in Requiem play out like music videos). Requiem was a disturbingly truthful film.
I bench press all of Shakespeare whilst reading them.
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