> It doesn't make much sense to 'buy' cash instruments when you can just get the real thing
It does if you only want to be exposed to price movements. With futures you can get that exposure with a much lower initial outlay than if you bought (or sold) the underlying. Leverage, in other words.
That's pretty much the point of them. Whether it's something that you'd find value in is somewhat beside the point. As well as speculation, I'd expect there is probably a market for people who actually want to use bitcoin as a medium of exchange. The current price fluctuations are a pain in the arse.