This was, I believe, the problem that Microsoft wanted to resolve with their gradual burndown of WSUS - a lot of shops (including one I used to work at) would selectively roll out updates based on whether they thought they were relevant, resulting in an explosion of configurations that Microsoft had absolutely never tested against, and naturally, a lot of breakage.
This doesn't really jive with reality as Windows is plenty buggy in the presence or absence of the latest updates. Microsoft has slowly eliminated end user controls over updates because it would interfere with their ability to monetize their customer base. You can't really push a telemetry update, if updates aren't being applied.
