the technology DOES exist, Samsung released a smartwatch 2 years ago with BP, it was not accurate and needed calibration regularly, and it was discontinued after 1 year.
It has been in multiple reports here on MR that BP will not give you actual measurements but trends, that is what I expect to come this year.
And, technology for non-invasive blood sugar measurements exists too, just for that it needs to be a medical device and therefor undergo regulatory scrutiny's and that takes time, a long time ...
Technology evolves, think thermometer for a second where it has gone from putting it into your behind and nowadays pointing it to your forehead.
False security is no security.
If the sensing cannot be trusted, then the technology do not exist. It is about who is liable of wrong readings and therefore medical devices are so strongly regulated. Well and the fact that people may die due to wrong readings. Both BP and blood glucose* has clear values for what is normal and users will not be able to handle something complex as trends.
What I think is that we need a "middle" way in terms of regulations. These devices could be good as "screeners" where positive findings (such as cardiac irregularities) can be found which is good. Apple (or others) should however have no responsibility for false negatives (missing a disease). Better to find few than none at all. False positives are easier as a trips to the doctors will tell you it was a false alarm.
*I was on a sensor conference year 2000 showing data in IR glucose sensing with the conclusion it was impossible to implement due to users varying physiology (skin compositions, skin color, hairiness) and how and where the devices was mounted. No technology can compensate for such external factors that may also vary in time.