Matt Zoller Seitz perfectly explains something I didn't even realize should have an explanation.
Hollywood is a dream factory run mostly by and for raging narcissists with power and money. Its mass-produced dreams are overseen by people who want to be constantly reassured that they're talented, sexy, charismatic warrior-poet visionaries, and that you can absorb such invaluable knowledge by being around them that the abuse they heap on you is totally worth it. That's why the preferred dramatic configuration of ensemble TV shows is the ragtag band of eccentric professionals (read as: creative types), led by a well-dressed, middle-aged boss who reflexively needles and insults people and throws temper tantrums and sometimes puts on an expensive jacket and sunglasses, hops in his expensive car or on his expensive motorcycle, and takes off for parts unknown without warning, forcing underlings to wonder where the hell he is and talk about him nonstop until he reappears unannounced and provides them with the final piece of whatever puzzle they were trying to solve in his absence. These shows exist to kiss the asses of people who approve shows.
As always, the structure of an institution is reflected in what it produces. Of course.
Not that this will blunt my enjoyment of House, M. D..