If Nintendo dropped out, following generations would seriously lack innovation. From the controller, to the power-pad, to the analog stick, and the wii-remote, Nintendo has never been satisfied with simply giving us better graphics and faster processors.
If Sony dropped out, there would be a hole in the functionality department. The PS2 brought DVD playback to the mainstream, and the PS3 will do the same with Blu-ray (eventually). The PS family was where 3rd parties really shined. Not so much now, with XBOX 360 on the market, but the competition between the two keeps cutting edge technology at an affordable price.
If Microsoft opted out, PS3's would still be $300. Also, the system(PS3) wouldn't be as powerful, and the PSN online component would no longer be free, or robust.
Pray to your respective video game god that none of the big three ever leave without an adequate replacement. Whether you like a company, or not, we need them to exist.