I see “wealth” not as a collection of desirable things but as a potential or a power. An individual who has some wealth has the potential or power to undertake certain things they would like to do, over and above basic survival. An individual with greater wealth has greater choice of the things they can choose to do. Such things might include eating Michelin 3 star food, or driving a Ferrari along the coast. They also might include a simple afternoon walk in the woods. In the latter case the “wealth“ required to undertake this activity comprises having the leisure time available for the activity, the personal good health that allows for enjoyable walking, clothing of suitable quality for the activity to be pleasurable, and a means of fairly effortlessly getting to the woods in the first place.
It follows that, whilst “wealth” might have a roughly linear relationship to “money”, the amount of surplus money one has to attain a certain “wealth” will be different for everybody, principally because we all different ideas of how we might use our wealth, some of which will cost more than others. Additionally, some wealth doesn’t necessarily cost any money to create or to acquire. Consider a coder who makes a compelling game and puts it out as open source. The coder has created “wealth” because they have created the potential for others to undertake something they would like to do, namely, play the game. The coder has used their own time and little else. If the creation of the game was an enjoyable activity for the coder then the wealth has been created at zero cost.
It’s my opinion that Drexler simply underestimated the basic scientific problems that yet needed to be solved. The discrete nature of atoms and the limited range of geometries that can be utilised for structures at the nanoscale alone make complex molecular machine design extraordinarily challenging. Drug design is challenging enough and all we usually need to do there is create the right shaped static block to fit the working part of the target protein and stop it functioning (OK, I over-simplify, but a drug is a very long way from a molecular machine). Additionally the simulation tools needed to design molecular machines are only now becoming accurate enough, largely because it is only now that we have cheap enough and fast enough compute power to run them in reasonable real time.
It will happen, in time, but there is still a large amount of basic science to be done first IMO. My best guess is that self-assembling biomimetic molecular machines, based on polypeptides, will be the first off the blocks. New tools such as AlphaFold will play an important role in their design.