The problem is that job != job, because different jobs have different requirements.
A doctor needs to be available continuously, but he doesn’t necessarily need to be working continuously. An on-call doctor needs to be available 24/7. A general practitioner may only need to show up for scheduled appointments in strict timeslots.
A programmer on a long term project needs to eventually put in hours, but precisely when he puts in those hours matters less. A senior developer is productive anytime he’s available for advice (and there are others working to be advised — with off-shore resources, this can mean extended availability)
A warehouse worker is productive only when he’s explicitly doing labor. Being available for labor, but not doing any, is worthless.
A programmer on a short term or last-mile phase of a project needs to put in the hours, but on a strict timeline — there’s no room to skip a day and make up for it tomorrow.
Companies already acknowledge this, albeit implicitly. The higher you are in the hierarchy, the more valuable your availability and the less your labor. CEOs don’t get to have strict no-work vacations, but they also don’t have strict 9-5 work/life split, because they need to be available all the time. At the same time, they can go normal days without any real work to do, because they aren’t needed for anything.
- Clear goals that the team is bought into
- Productive people who can sustain emotional enthusiasm for extended time periods
- An environment where intrinsically motivated people can thrive, and/or incentives for extrinsically motivated people
- A healthy feedback loop so people know when they're improving and are rewarded for it
- etc
Looked at this way, a team of 5 people working 20 hours per week in this type of company can vastly outperform a team of people working 40 hours per week at a company that lacks the above items. (And I'm probably missing some)
Compare both companies at 40 or both at 20. The good-culture-40-hour would outperform the both the good-culture-20-hour and bad-culture-40-hour so why wouldn't all companies aim for 40/hours with a good culture?
It could be argued that it is impossible to have a good culture and 40 hours, but that needs a lot of analysis.
(You are working to argue that the comparison being made isn't useful and haven't gotten there. For instance, if I was going to build a company, I'd certainly want to know what parts of a culture were important to a company that compared so well against the longer working company)
That would be fabulous. Much better than doctors working to a regime designed by a cocaine addict that sees them punch-drunk from a lack of sleep by the end of their rosters.
Of course, there are lots of related issues, like are your employees getting enough sleep? Very varied work might tax employees differently. Is 8hr days, 5 on, 2 off necessarily the optimal pattern? Can people work more efficiently for longer if they're working on something they truly believe in?
I rather imagine I’d have two doctors.
The reduction in misdiagnoses and straight up practical errors might give them better throughput overall?
The fact is, most (white-collar) places just don't have enough work to consume people for 40 continuous hours.
Beyond that, we solve that problem with government regulation. If companies really need to run 24/5 they can just go to 6 shifts instead of 3.
The 40 hour/week company will get more done.
Also, imagine if your doctor only worked 20 hours a week.