I think this is a bit curse of creative professions - they produce luxury essentially. What's created is not necessary required for humans to enjoy life. So there are exploiting, high risk, etc. in gaming industry, or in entertainment industry overall.
It's a luxury I couldn't do without. For me a world without books, films, music, games wouldn't be particularly worth being in.
I think where games are different (or maybe were different back in my day) is that the difficult creative decisions are made alongside a huge team implementing them. If you're doing a movie or a TV show or play, usually ONE person has spent ages writing the screenplay and the army of people tasked with implementing it are hired at the very end on a tight schedule. An album might cost a fortune to produce, but it's been preceded by a lot of very cheap idle guitar strumming.
I worked on a movie licence that changed license (from one film to another) and changed platform (from N64 to Gamecube) during production. And we were already 6 months behind schedule. A huge amount of work was wasted each time and we were under so much pressure that there wasn't really any room for the playfulness of creativity -- you just had to put your head down and release whatever came out of it.
Ideally you'd have a very complete prototype made by a tiny team and THEN hire the army needed to make it.