Times are indeed changing. Nowadays, skilled folks can sit down at their computer, create the desired shape, upload it to their printer, load in the desired material, and head to the pub until they get a notification on their phone that the job is finished.
I'm a dinosaur from two generations back--I don't even have CNC machine tools. I'm strictly manual. The process is a little different: I scribble out the dimensions on a scrap of paper, find a chunk of the desired material, and then go to work hogging away everything that doesn't look like my desired shape.
What both these processes have in common is time. While I can make titanium fasteners for my bike, it would take a lot of time. And frankly, I don't like working with titanium. It's not worth it for me to use anything other than the steel fasteners that came on the bike. I assume that creating the program at your CAD/CAM station is also labor-intensive.
How long would it take you whip out a batch of fasteners for your bike? Or more accurately, how long would it take to draw out the fasteners on your CAD/CAM software? Once you have the program figured out, what's the cost of materials to print out a batch?