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That’s still the half the case on Switch. You can put the cart in and play without installing the game to system storage, but how big the patches are and how necessary they are varies.
A lot of the third-party compilations for Switch include one game and allow you to download the rest (Assassin’s Creed is one).
On the plus side, Nintendo is good about releasing revision cartridges with updates. I think that new copies of Breath of the Wild and Mario Odyssey have been fully patched for years.