What about genetic engineering? We can create new organisms by directly modifying genes, in fact we frequently do for drug production, etc. We can sequence genes and the cost is falling faster than Moore's law. We can introduce stem cells with different genes into the body (including brain) to cure genetic diseases. We'll be able to tweak genes in human zygotes soon.

Does this compare favorably to internal combustion or indoor plumbing? Seems to me that it does.

And AI is a huge force multiplier in all of these abilities.