Biotech startups are fundamentally different in that they're driven by scientific advances, which is exactly what life scientists in academia are trying to produce.
It's definitely not now. The thing holding back biotech isn't business model innovation, it's technical difficulties - what the scientists are tackling. You can't compare semiconductor innovation to biological research - one system was man-made to be as reliable and robust as possible, whereas the other one is still largely utterly incomprehensible.
My sense is that the vast majority of people on HN touting rapid advances in biology have never actually spent any time reading up on the scientific literature, and haven't spent any time doing life science research. The same goes for most of the YC partners, which has led to their selecting companies that often have fatal flaws that are immediately apparent to anyone with life sciences expertise.
Biological engineering can and should be a thing separate for biological sciences.
You do not always need to understand biology to be able to hack with it; it's robust that way. Maybe biology can't breakout the way software has, but on the off chance that it could, it's worth having a lot of people trying to figure out how.