Great essay. You can tell from the writing Sam Altman is just a great person who cares about making things people want instead of just enriching himself at the expense of everyone else.
I do not see those as a dichotomy: care to elaborate where's this essay significantly about making what people want instead of guessing what's going to exponentially grow in value long term?
He even talks about owning being more important than selling time (which you need to create, right?), so I think you are misreading or misrepresenting the essay by making this personal (he might be all the things you claim, but it totally does not flow from this piece).
Basically every self help book or essay has a similar structure of enumerated platitudes and some huge assumptions about what success actually is and how it is achieved baked in. They are also almost never applicable to anyone, not even the person who wrote it. They’re often more reflections of what they wish were the secrets to their “success,” when in fact it’s mostly luck. Instead they distill some personal philosophy mixed with cultural norms of success, dress it up with confidence, and throw in some twists of their own, and sell it as “this is how I did it, you can too.”
Seriously if you’ve read a few you’ve read them all. It’s like programming languages - once you’ve learned a handful the next one is about spotting the differences.