Even people without true friends need acquitances and social contact. The consequence for many is not knowing about social activities at all and thus not being able to participate at all because they tend to get organized over facebook. Moreover, there is such a thing as being special snowflake that refuses to use same practical tool as everyone and demand that others do out of way especially for him.
Lastly, not everyone has super rich social life that would make it easy to make and keep friends. Many people work a lot of hours in companies that change every 2 year, limiting opportunities for friends time. Others have children they already feel they spend too little time with. The loose connection when you react to each others posts is much better then comelet cut off.