To me what is important about it is that people care enough about you to take the time and effort, to REMEMBER you, not the day itself. (Does that make sense)?
It makes a lot of sense to me. That is why I keep in touch with the people I care about regularly.
When I used to let people know when my birthday was, i would get an isolated call every March from a person wishing me happy day even though I haven"t heard from them in a year.