I have noticed that, to some people, "VC startup" is almost considered redundant. That is, if your company is not seeking outside investors, not seeking rapid growth, not seeking an "exit", then it isn't a real "startup". So, in addition to what you mention about user focus (or lack thereof), I feel that this hurts ambitious entrepreneurs by making them think the VC/outside investment/grow-or-die treadmill is the only way to get big and escape the "lifestyle business" stigma. Many of them likely could succeed, albeit more slowly, without the treadmill.