This is why a) social media is often characterised as a narcissistic echo chamber, and b) why it becomes so rapidly toxic when two naturally opposed communities coincide on a topic.
A wonderful petri dish for anthropologists, but not a medium we'll be proud of fifty years from now.
That depends entirely on how you use Twitter.
Find people you know or have heard of other places and think are smart/interesting/important/etc. Follow people they retweet. Repeat. Meet Kevin Bacon.
Your friends and FOAFs are not likely to exercise the same level of control as you're expressing. I've consistently observed this even among a carefully curated set of sources on several SocMed sites.
*I don't know if John Carmack actually posts anything of the sort, just a hypothetical.
Alternatively, in the tech world, it gives you live updates on various developers that people look up to. technologies you want to keep up with, and updates on exciting open source software.