Is dumb doorbell + separate CCTV camera a valid alternative? Even my fairly basic Reolink camera has a much better image quality than any doorbell camera I’ve seen, and HA can pull an image from it and push it to my phone in only a few tenths of a second whenever someone pushes the doorbell.
You’re right in that it’s a useful tool for various kinds of abuse, but so is almost every useful home automation/home security sensor.
The most obvious/useful use cases I can see are:
Both should be easy with load cells under the bed legs but rather difficult otherwise.
(Useful assuming a household of two adults in one bed that is).