@impaul: I think you're looking at this from an angle that will make it tough to move forward.
Instead of thinking large scale, try thinking deep scale.
I.e. instead of worrying about trying to go big and reach lots of people, think about going deep and having a more powerful impact at the individual level.
Value is received by individuals one at a time, not by hordes of people en masse. The large scale effects are simply ripples.
Ultimately the solution is to follow the path with a heart. That's also the path that requires courage. If your path doesn't require courage, it's the wrong path. The path with a heart is the path you subconsciously dismiss and avoid whenever you try to take on side projects to distract yourself, and you end up stuck in your head. It's the path that's scary to look at, but when you begin moving toward it, you feel energized and alive, and all your inner resources kick into high gear.
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