Granted, writing is not very effective. But some of us just love writing...
Earning to Give Writing: Which are the places that pay 1USD or more dollars per word?
Mind Changing Writing: What books need being written that can actually help people effectively change the world?
Clarification Writing: What needs being written because it is only through writing that these ideas will emerge in the first place?
Writing About Efficacy: Maybe nothing else needs to be written on this.
What should we be writing about if we have already been, for very long, training the craft? What has not yet been written, what is the new thing?
The world surely won't save itself through writing, but it surely won't write itself either.
One thing that helped me a lot was writing fanfiction. For me, it was good training wheels, since I didn't have to explain the character or the world to a reader, and could try to tell stories without having to be good at everything at once. (I mean, I even wrote filks using Avril Lavigne lyrics to carry part of the plot!) It let me futz around thinking about how to structure a story and what words to choose without getting stalled out by other skills.
Also, practice just telling stories out loud! Tell people about your day, retell good anecdotes you've heard, etc for good practice with narratives and editing with high bandwith, rapid feedback (other people's faces!)