>My assumption is that if you're in the meeting, it has some adjacency to your work.
This assumption does not match up with my experience.
>If the meeting isn't germane to your work, why are you in it?
I personally have gotten pretty good about declining meetings, but plenty of people aren't. Besides, I've been occasionally asked by my direct manager to attend a meeting that it turns out I wasn't actually needed at or remotely interested in for my work.
It would be nice to live in a world where meetings worked ideally and there weren't a bunch of people there wasting their own time, but that is sadly not the world we live in.