The devil is in the details. There are an amazing number of details in a good [thing]. Someone somewhere has to say exactly what this [thing] being built actually is.
Read almost any story about wishes from a genie. Simple statements don't work.
I'm medical-adjacent. We're still bottlenecked on human review and ops. Not because of regulation, we just don't trust the inputs or the outputs enough yet. But also, a lot of the things we'd want an agent to be have access to we don't trust humans with, either, often for stupid historical reasons.