IMO Patreon exists for creators to create public profile pages on which people can subscribe to support the creator on a recurring basis in return for some perks. It's (IMO) largely succesful on the basis of network effects (once you support one creator on Patreon, the friction to support another is significantly lower). Plenty of creators also have paypal 'tip jars', but I think these are significantly less effective at enabling a steady income.
I think if we had a competitive, cheap and secure-enough micropayments system we could do away with advertisement-based monetization altogether. Creators could host their own videos, blogs, etc. on their own website and just charge a fraction of a cent per pageview or download.
Even if we had a fully government ran, 100% flawless, zero-cost micropayment system, thee majority of people would still not host their own website for their content.