I think the goal of running Macs hot is to prevent the fans from kicking in for most use-cases. If you're running twelve virtual machines and compiling Chromium simultaneously, then you might need earplugs.
Below a certain rpm you practically cant hear the fans. Even with them screetching, if you are in a room with an ac unit or outside, it would be tough to notice.
Never got this gripe personally, as I’ve never had a quiet device in my life. Certainly not from apple.