I think there is a big misunderstanding of what CAD is. It means Computer Aided Design and that term can describe a very wide variety of activities. CAM is Computer Aided Manufacturing which in this case would describe the machining of the core. They are 2 different things, one the design process the other part of the manufacturing process.
I do my design work on a computer, it 'aides" me, it does not do the design, I do. The human is designing the board I am just using a computer as the design medium. It takes skill and knowledge the computer cannot do it without the human input. AIl of this might change this in the future though at least to some degree, I hope not.
Here is an example of CAD...I am sure most of you would not have considered it so, an awesome sketch by Ewan Kingsbury of the Holden Virtual Show car released at Bathurst last year A design theme sketch done using photoshop...so a computer aiding the designer...it is still hand sketched and rendered but on a screen instead of a piece of paper. Clearly CAD does not stiffle creativity and imagination.
Don't confuse CAD with CAM.

And yes Lee the board still has to be hand finished but that has nothing to do with how it was designed. Ideally I would love a robot to be able to do this as well as it won't have been on the whacky tobacy the night before...