Public support for the confrontation clause isn't popular these days, but I am very glad the courts have continued to uphold it. To quote Crawford v. Washington[2], "Dispensing with confrontation because testimony is obviously reliable is akin to dispensing with jury trial because the defendant is obviously guilty."
1. https://en.wikipedia.org/wiki/Confrontation_Clause
2. http://federalevidence.com/pdf/2007/13-SCt/Crawford_v._Washi...
Not necessarily. If someone stabs or shoots you in a public place, in full view of 50 other witnesses and 4K recording devices, then your testimony is unnecessary.
That said... in the US most crimes don't go to court so I can't really say what a hypothetical 'open/shut' case will look like in a court trial, because in reality the offender will plea-bargin immediately.
I was under the impression that criminal cases were pressed by the state, not any given individual.
The only thing the state may ask is testimony from the victim. If the victim is unwilling or unable to give that, then the case may just fall apart due to lack of evidence.