I love the way he's compared the people who tell you to turn off auto-updates with anti-vaxxers; it's quite an apt analogy. Microsoft shares part of the blame here for pushing features that the user clearly doesn't want through updates (especially to the major OS version). Look at the recent ads in Windows file explorer for one example. A lot of the advice to turn Windows Update off is a misguided response to Microso…
Of course, I've also had SMBv1 disabled for many years (there's no reason to retain support for it unless you need to support WinXP machines, in which case you have my condolences), the desktop sits on an isolated subnet with a very restrictive router and firewall in front of it and all telemetry, Cortana and other malware has been eviscerated via group policy and other settings, along with router-level blocking of telemetry and update servers.
I fully understand that my case is atypical and the average user isn't going to follow comparable precautions, so I don't actively recommend my approach to anyone else, but it works great for me. Apart from wasting about a day per year on maintenance, I'm as happy with the OS itself as I've ever been with any Windows version, and it fulfills my Windows development and occasional gaming needs just fine. Obviously, I'm much less happy with Microsoft as a company for forcing me to go through such lengths to make their OS into something I'm comfortable using.