Why is it misleading? The fact that alternatives exist doesn't mean that they're any good .
I think the best thing that Doctorow could do is set up his own publishing business and show the big companies the right way to do it. If he's right, he'll get the best new talent and quickly succeed.
But I'm guessing he'll discover what the major companies know: the consumer is fickle, developing a new book/movie/song is expensive, and only a few hits pay for the rest.
That's how I read them as a kid with no money.
In fact even a mediocre university press likely has higher standards, in just about every conceivable quality aspect, than even the best imprints of the big 5.
Why would anyone, excluding authors, even want low quality books to have any ROI?