From what I've read, Spectre and Meltdown each require rogue code to be running on a Windows box in order for attacks to take place. The thing is, once a box has rogue code running, it's already compromised.
Given that the Microsoft patches for Spectre and Meltdown reportedly slow down the patched systems, it seems like possibly a good decision to leave Windows systems unpatched at the OS level.
Assuming rogue code is not installed on a Windows box, the only point of easy penetration to a system seems to be via javascript running in a web browser. Yet both Mozilla's Firefox and Microsoft's Internet Explorer have already been patched. Google's Chrome is not currently patched, but it can reportedly be run in strict site isolation in order to prevent successful Sprectre and Meltdown attacks.
Given all the above (and assuming best practices of not running unknown code), does it really make sense to patch Windows for Spectre and Meltdown?