Others would like to buy it via retirement plans and having an ETF makes this doable.
Those that want to hold BTC incase the US dollar collapses will hodl their own BTC.
Those that want to hold BTC incase it really appreciates will hold it via an ETF in a tax advantaged account so they don't have to pay taxes on their gains, depending on the account type.
Many financial institutions do not care about decentralization, but they do care about investing in an asset where they do not have to worry about managing the asset (in that regard, similar to REITs). Having the asset insured against various types of malfeasance is also a requirement for investments by many institutional funds.
Commodities are similar. People might invest in pork bellies even if they don't personally eat bacon.
But now the speculators have taken over, and all that really matters is what BTC is worth in dollars.
Also, CZ (pleads guilty to money laundering charges): https://news.ycombinator.com/item?id=38366729