These are good solid points.

For the care issue, I don't know how I would scale it.

For my direct reports, I care, because I have yet to have take the MBA course where they remove my empathy. Its easy to know how they feel because I have the context.

However, should I be good enough, or lucky enough to climb up the greasy pole and have reports with reports, I don't know how I would be able to scale the attention required to provide valid pastoral care to those reportees.

Large forums only really allow the extrovert, confident, brave or stupid to over supply their opinions. So its not like a group monthly meeting will allow those grumbles to be surfaced before a crisis.

You hire caring direct reportees.