All in all the people who genuinely want to change the world and are willing to put their money where their mouth is, are very few and far between. Regardless of their profession or background.
The dissonance is that startups, particularly VC-funded high-growth startups make a lot of noise about disruption, changing the world, and the such. But somehow, with few exceptions, when push comes to shove they will take the exit over their vision.
Not to pick nits, but I think the dichotomy you're setting up here is silly. Business administration or leadership are skills as technical as coding or design, and if done correctly, can be more so.
With that in mind, there's an art to making money. Just churning over cash in the short term doesn't have that. Building a brand that can last for a century takes a genius.