But "what mathematicians care about" is much, much broader than what gets you published in a fancy journal. Mathematics as a human activity is millennia old, much older than the concept of journals or even universities, and that activity is, to me, very beautiful, worth preserving, and more of an art than a game. The incentive structure of academia for the past few decades has done a pretty bad job at preserving that art form, but that doesn't mean mathematicians as actual human beings don't care about it --- if they didn't, they probably would have chosen a different career.