You mean like the one you don't have to apply if there's physical security for the system, as is for most server farms? I don't know enough about these particular bugs, do you have to reboot after applying the patches?
Actually, these don't require a reboot. The DLLs can actually be renamed and replaced. The fact that the installer asks you to reboot is really a bug in the installer.
Then it's been a bug for many years, and even Microsoft isn't that bad. The fact is that if you don't reboot you risk DLL Hell, and some things do absolutely require reboots.
You can create Windows users with arbitrarily complex masks of capabilities -- which provides the same functionality
Then from the point of any user except for places where a Windows expert has taken hours to create a new group, it's a flaw.