It is a very unhealthy industry. I am not sure if it can be sustained in it’s current form, but I don’t ever see the hours being reduced either. 4 day work weeks would just mean 12+ hour days and you would have to hope your clients aren’t open on Fridays or whatever day you decided to make your company day off. Staggering days wouldn’t work that well as most agencies have little to no redundancy by design.
Again, this leads to burnout and employees that are sufficiently burned out either quit or are fired for no longer being able to meet the productivity requirement and/or making mistakes. The agency does not care because the supply of recent college graduates in marketing and communications is never ending (it is one of the most popular majors at almost any college/university).
Interestingly, slower work to a point is better for the agency since they bill the client per hour. That reverses when the quality of work suffers or the employee is no longer able to get everything done that was promised to the client. The agency gets more value out of a single employee when they work longer hours. Bonuses are common in the agency world, but they are typically meager compared to the extra hours worked. Burning out their junior employees is then to the advantage of an agency that bills by the hour.
It's the kind of question where I wouldn't really believe your answer, unless you've actually tried to experiment yourself where is the cutoff (for your specific situation) between hours / productivity.
Not because I think you would answer in bad faith, but because it's a really complex question. What if working less hours over multiple years would let you pursue some hobby, turn you more sociable and thus a better leader/CEO?
Or maybe it would make you just very slightly better at decision making. You would have less time to manage your company, maybe relying more on others, but in exchange you would have more energy for the really crucial decisions. Or enough energy for extending that 2-weeks international crowdfunding effort into a 3-weeks.
Even in your example, being productive for 60+ hours is possible, but for how long? There might be extreme (extreme!) outliers, but I think it's fair to say that at some point you will increase your productivity by putting in less hours.