Prominent people generally like getting their ideas out there, and having a 30-120 minute conversation is a relatively scalable way to do that. Sure, they get asked by a lot of people, but that's where the other points come in.
Let's take prominent guest X. They might get 100 podcast interview requests a month. They might do 1-2 podcast appearances per month (average, most guests cluster their appearances for PR purposes). From the very start, Lex, through his MIT stature, first and second second-degree connections, etc. would very likely be in the top 2% of the 100 people asking; most people asking are some combination of no audience, not targeted in their ask, abrasive, etc. If you're in the top 2% of 100 requests, and they fulfill 2 requests per month - you're looking pretty good. Throw in an element of "luck" in the first few guests if you'd like.
That's just getting started. Once the flywheel starts, it's easy.