> and if you're not improving the state of medicine, what's the point, really?
There are tons of applications not related to medicine in any way. Replace "bio" with "nano" (the former being a particular implementation of the latter) to see them.
Bolt Threads [1] just received $30m in funding. There is nothing therapeutic about their business.
People in the diybio community are justifiably very cautious about what they say and do, as there is there very real threat of getting thrown in jail for no real reason other than they have a lab. The war on drugs on one hand and hysteria about terrorism on the other have done a great deal to make it risky to do home life science work. Beyond that regulation makes it hard to impossible to do near anything useful with animal tissues on a garage hacking basis, and if you're not improving the state of medicine, what's the point, really? Might as well build a cat webapp if your horizon is limited to glowing plants.
So there is a lot of tension here between what is possible and what is permitted. That has been an issue in early stage research for decades now, and has cost uncounted lives and years of progress. This is just the stage in which that becomes more apparent as more people could, in theory, participate.