Get anything done? This isn't a chore, it isn't work... Play for fun, not for productivity. Traveling the roads is a huge part of the fun in Skyrim, when you fast travel not only are you simply skipping out on half of the game, but you're missing all kinds of things that you could come across traveling the roads.
Right, of course. And when I'm in the mood for exploring the wilderness or randomly encountering things, I will just wander about. However, sometimes there's something specific that I intend to accomplish. In those cases, I use fast travel to save time. Even if I wasn't fast traveling, all I would do is run to my objective anyway. I wouldn't stop along the way, I wouldn't deviate, I would just get to my destination and do whatever it is I went there to do.
So it's a question of what I want. I know there's a lot of value in happening upon things, but sometimes that just gets in the way, or gets ignored. That's when I FT.