Someone driven to change the world or build for the sake of building, on the other hand, is going to make something out of their money, even if they aren't as skilled or single-minded in acquiring it. Money means a lot more when it serves a purpose other than piling on top of itself and buying superfluous stuff.
I'm sure there's a role for people with this approach in most companies, but I tend to avoid them--mostly because they bore me to tears. Someone with ideas and goals that supersede wealth accumulation is a lot more interesting to me, and I'd much prefer to spend my time around such people and scrape by than live in a mansion and listen to a bunch of polo shirt clones yammer on about their real estate investments all day.