Even when you Are able to pull some detail out of the highlights, it will typically be white blobs with some glowing ring around it. A lot of people disagree and some even don't like it but I'm a strong advocate of Spot metering. Simply because it easily allows me to dictate
what is
properly exposed. It requires studying the scene a little bit to make your determination and setting your exposure accordingly. To make it work we have to remember What the meter is showing us.
Going
strict ETTR, with a histogram is a mistake. Instead, once you understand what it is showing you, with respect to your scene, it can be a useful tool. I think howwever many people never bother to learn what constitutes exposure making the histogram, basically useless to them (in terms of getting the most properly exposed photo possible). Typically, people pick an Auto exposure mode and no amount of fiddling (to an extent) will change the actual exposure. The only way to Really control it is to go full Manual (M mode).
Not what you wanted in an answer probably so in answer to your question, No, I don't find value in worrying about where the histogram lies. It's location can be dictated by more factors than shutter speed and aperture. The histogram for This photo is all the way to the left, for instance.
This one is primarily to the left as well..