It really depends both on the airline and which model of aircraft.
http://www.seatguru.com/charts/shorthaul_economy.php
If they are selling room in the middle of the plane for a Economy+ type type deal then you can bet they are getting that room by screwing the other seat holders,
If the flight is short then its not that big a deal, but two or three hours in a cattle car is painful.
If I have to fly United then I just pay the extra fee, but I try to avoid that carrier altogether,