Quote from slickpick:
To the person that said MMs no longer exist, I disagree the guys on the floor have just been replaced by computers.
So to answer OPs original question, it depends. For example, if you're talking about ETFs creation/redemption or hedging with other instruments is generally the case. For single cash equities, I won't go into specifics here but most people running automated MM type strats will use some kind of function, which could depend on factors such as inventory size, trade size, last bid/ask, etc.., to determine where to quote (i.e. how wide).
Uh....no. Market makers were REQUIRED to make markets. HFT's are NOT. That is a BIG difference. In fact, it makes the entire comparison moot.