Back before my Phoenix/Elixir days, we used to have to cache almost everything. Now we don't cache anything -- even with more traffic and less servers. Now, the projects I work on are not getting millions of views every day. But they are still important for many customers.
We don't really design anything that needs to be cached anymore. Just better access patterns and table design as we get wiser.
Take Wordpress as an example. There really should not be a need to cache a Wordpress site. But some of the most popular plugins are those that cache. To be fair, I suppose, their legacy non-optimal database design access pattern and code is responsible for this.
Just getting something up and aiming for product-market fit is priority #1 and then struggling with caching if it gets popular, at which point, more resources can be thrown at it.