Social media have been key to political campaigning in the last 10 years or so. This made headlines in relations to the Brexit referendum in the UK and it had made headlines after Obama's first presidential campaign which was a pioneer.
If you're not on social media you're toast.
[1] https://knowledge.wharton.upenn.edu/article/how-social-media...
For the current definition of "modern".
In the 1800s then-modern political campaigns were fought and won in newspapers and pamphlets.
Pre-WW2 then-modern political campaigns were fought and won on the radio.
Post-WW2 then-modern political campaigns were fought and won on television.
None of those were treated as public utilities AFAICT, so I'm not why the medium of communication now suddenly makes a difference (Marshal McLuhan notwithstanding).
Also, coverage of Trump by the mainstream media was likely far more effective than social media at getting him elected. If nothing else, it provided the material that got spread across social media.
Obama's victory was due in large part to social media as well, but not due to Obama's personal accounts.
No, they have not.
I cannot live without water or electricity; perhaps also a general Internet connection (in the modern world). I live my life just fine without Twitter.
Twitter is an online service that some people find useful and others ignore completely. There is nothing utility-like about it.