I don't like Musk very much since he went nuts post breakup with his GF. But he does have meaningful input, technical design is not the only thing - other companies like Boeing, Blue Origin or Ariane have great engineers too, seems like technical design is not the most important part.
Yes, I have the misfortune of being on web meetings and telephone all day, every day. Even the comparatively very simple projects I work on move forward the most during our on-site meetings - and I don't mean the technological side, that's what we do after the on-site, it's exactly the parts where Musk would have most input that feel stuck online and everyone feels like we unblocked our minds and collaboration on-site.