It's the mid-sole that really provides the cushioning, so you can't actually "see" if it's gone.
If you've got "cushioned" shoes, you should be able to feel some noticeable give, if you press with your fingers on the centre of the insole. If there's minimal give, then probably they're not giving you much cushioning. Trouble is, it's more of an art than a science, but worth comparing a relatively new pair with an old pair to see if there is any difference. (It will vary between models and brands tho, just to confuse things!)
There's a kind of rule of thumb as well tho, if you're not getting any niggles (knees / ankles etc) they may still be good enough for whatever running you're doing.