In all likelihood if we were to get to the point of it being safe and cheap enough for genetic engineering cosmetic "upgrades" then that would through economies of scale drive enough money that medical research funding would be a solved problem. Also anyone wanting the chrome pipes and spoilers package is going to want their engine tuned. Whats the point of having functional wings if you heart blows out trying to use them.

Cosmetic surgery for vanity has helped improve the techniques and procedures and even the number of skilled practitioners that can then help those with disfigurements and deformities.

Economies of scale. Shiny hubcap manufacturers will very generously subsidise the R&D for other, more worthy users of a technology. They aren't competitive or independent, they're synergistic. The billions of dollars we "wasted" on making video games look more realistic gave us a revolution in high-performance computing that nobody could have created intentionally.

"they aren't independent"

That interdependence may be beneficial, though.

Experience and revenues from cosmetic treatments will help health-restoring treatments.

> breathless proposals for ways to design shinier hubcaps whenever some promising new technology appears

I wouldn't underestimate the emotional toil of dealing with illness and death [1].

Tackling these problems head on requires (a) exposing researchers to that toil and (b) removing from the pool anyone who doesn't want to do that. Given how much of Silicon Valley culture is built on borderline-ludicrous optimism (once it's over the border it no longer qualifies as building), it makes sense that the indirect approach finds resonance here in a way the direct one does not.

Where your argument finds ample purchase is in the asymmetry of idiot luxury spending in our society to basic and applied research of any kinds, wings or Wilm's tumour.

[1] https://www.statnews.com/2016/09/19/mental-health-doctor-res...

> they are at this stage the exact same problem- requiring not competing but identical research

I'd go one step further in arguing they're complementary. The personalities that will work on e.g. wings or longevity are not the types drawn to curing diseases, much less the boring ones.

Broadening the field from solving mundane problems to solving daring ones is net positive. You gain personalities that would have otherwise stayed away. (You see something similar in space programmes.)