I have to admit not quite sure what you mean, and I do admit full guilt in starting us down the path of "mixed analogies" :). I'll try my best, though.

> Or past a certain point, the results of discovering improved health and ecological outcomes will become inextricably linked with discovering new technologies that cause conflict? What actually drives such a process?

I do think with respect to life-sustaining things -- medicine, pharma, food, shelter, water, energy -- that a combination of specialization and automation is necessary to increase the collective standard of living, and that labor alienation stems from a combination of specialization and automation.

Where I struggle is coming up with an affirmative argument that an artist should benefit from automation of medicine or farming, but that an alienated lab tech or food factory worker should not benefit from automated art.

Another way to look at this is: the less you pay for art-as-entertainment, the more resources you have to buy free time to produce your soul-work (whatever that may mean to you).