I don't know. I think "they" have become immune to screaming. That they like to hear that the poor are in pain, hungry. "They" like to hear women cry. I lived with one.
One thing you didn't list was quietly doing things we believe will improve the lives of others, while quietly working on things we believe will bring change. Some of that is done on a personal level, some is done by writing. I'm one of those people, but I will never know what kind of impact I am having.
@ceejaedevine I really like your approach, and I'm certain you're having an impact, whether you can see it or not.