Mold design is still difficult when the parts aren't dead simple. The software I've seen is okay with the simple stuff, but once you get even a little more complex you have to understand simultaneously how to design good parts for molding and how to design good molds, both of which are heavily dependent on the type of plastic you're using and the size of the press you have access to. Not to mention how to machine good molds from metal, which is a challenge all on its own due to surface finish and tolerance requirements (and weird geometry that makes the CAM choke...)

In other words, we're not really there yet to bring that activity into the hobby realm. But I hope that we're not too far away.