The top-heavy hierarchy is so ingrained in the American psyche that doing things differently means changing the way people think about work.
Those assistants that answer the phones, schedule your meetings, and get your coffee? Treat them well, because someday those assistants may be next year's media CEOs.
You see, I don't put much stock in culture these days. Maybe that's because it's so ingrained that I don't notice it anymore. Or, maybe it's because culture is all hype. Don't believe me. Look around your office.