For company servers, I absolutely agree.
For corporate desktops, the administrators of WSUS (assuming an environment large enough to warrant running it) should approve them for installation after having had a chance to review them. Even so, the desktops should (IMO) be set to automatically install them and reboot once they are available.
For home PCs, just set them to automatically install and reboot and forget about it (n.b.: general rule; obviously there are/will be exceptions).
Personally, my own Windows machines (a grand total of two, running Windows 7 Professional, that are very rarely used), are configured to automatically download and install updates at 11:00 p.m. on Mondays. When an update is released that breaks things, this gives me about six days to hear about it and turn off Windows Updates until they get it fixed (assuming a typical Patch Tuesday release). A long time ago, I reviewed every update before installing them but not anymore. When one of those "drop everything and patch now!" updates comes out, I hear about them elsewhere and install them manually.
I mean, it isn't the end of the world, but your helpdesk will be getting a few calls because your users are refusing reboots!
Not during the middle of the night, either - typically these get pushed out around 10-11 AM.