Actually the content is incredibly impressive. There are quite a few problems with Rand and her writing, but its not to do with content or presentation imo. It depends a lot on how the individual reader deals with it. For one, she doesn't care of her readers' definitions, concepts or connotations of words like reason, egoism/egotism, rationality, which have developed, maybe manipulated, maybe not, over generations but which she kind of redefines, trying to be as exacting and smart as possible about it but coming to definitely other (in my mind more sensible, but other) concepts/connotations/definitions than the more blurred ones people think they share. So take a quote or passage of one of her works out of the context of the book and just present it to someone who has never read her from start to finish and applies their own, learned connotations, concepts and definitions, and they will cry how in-humane and pitiable it seems.
Her heroes, herself and her argument is that there shouldn't be a conflict between the material and the spiritual in the first place --- i.e. the 'ideal spiritual being' (in her literature) is the creator and individual of independent thought, for whom money is 'merely' the 'material manifestation of their spiritual height', a spirit that is, unlike others, admittedly celebrating this-life on this-world (not an otherworldly afterlife), 'reason' (she defines it for herself and her story characters, agreeing or disagreeing with that one is a different matter) and 'rational choice'.
While we're at it, when she's advocating 'rational selfishness', she's also not advocating the 'mindless brute going over corpses or a plundering thug' but rather implies that ultimately it is in your self-interest to create, and the best and most useful you can, then trade that voluntarily. This is pretty consistent with the YC/PG idea of wealth creation where ideally in the marketplace (except maybe for crass bubble markets) you make a lot of money most likely when you create even more wealth/value for those who choose to pay you. (Whether that's freemium subscribers, advertisers or a big corp buying you is beside the point of the argument -- in the end, the principle applies regardless of that.)
So I think the 'pitiable individual' you had in mind and the one she had in mind might well be the same or very similar --- there's unthinking zealots (MBA or not ;) who strive for money not knowing what to use it for, deal in personal connections and think it's all about 'striking deals with the right buddies' --- and then there's what in the 30s were 'the great industrialists' who started from nowhere (or since the 70s started in garages) and had a grand vision of something immensely useful they wanted to see in the world, then went ahead 'against all odds' to build it. Of course, she's using the heroism rhetoric of old warrior tales immensely, and I think she just did it for fun and maybe because her heroes (in books and real life) needed that 'missionary sense of urgency' to actually do what they set out to do.
Maybe for insanely great stuff you do actually need a reality distortion field. Although in another way she was all about 'facing, not blanking out reality and seeing it in the eye all the time'. But thats physical reality and basic laws like you cannot consume more than you produce etc. I'd actually say, to ultimately disrupt and reshape reality, you need to distort it first. Some of reality is ours to reshape, but that doesnt mean wishing-will-it-so.
Hmm. Mindboggling. There was a time when I could express such thoughts less confusingly. Guess I've been working too much lately and not doing enough intellectual reading/talking/writing. Gotta take that daily bike-ride now before getting to work -- laters!