I make a living desigining (mostly intangible) technology solutions that probably have a lifespan of 2-3 years, and leading these solutions thru layer-upon-layer of corporate politics and bureaucracy. That sounds negative, but I do enjoy "making things work well together" - whether its people or technology. I'm also thankful I still have a job for the time being. That could change at any minute- you are right that it is just the tip of the iceberg for everyone.
My extra-curricular job involves building stuff that people will potentially use for year and years. Personally, I love working with my hands, and its gratifying to know that the stuff I am building on this front *might* still be valued by people 10-20 years from now. I don't make a lot doing it, but I love the work, and maybe someday I can do it full time.
Building and restoring furniture that people will use and cherish as heirlooms 100+ years from now leaves a tremendous legacy, and fulfills a basic need that will never go away. There is something to be said for those "19th century skills", as you put it.