Yes, exactly. It's a rare thing and for people that have wealth and are involved in wealthy circles.
On the other side of things, I could never hire someone to help me. I have to spend my time worrying about trivial things like optimizing my food budget so I don't starve. I don't have the ability to pull away the distractions.
And yes, I am a tech worker in the USA. I still have to do this kind of thing.
During exceptionally busy periods I frequently hire someone full time for a few weeks or a month to handle all of the things I can't.
It's super common.