an entity whose terminal values are inconsistent with my continued existence
Indeed, but in the larger scheme of possible universe tiling agent space, Clippy and us don't look so different. Clippy would tile the universe with computronium doing something like recursively simulating universes tiled with paperclips. We would likely tile the universe with computronium simulating lots of fun-having post-humans.
It's a software difference, not a hardware difference, and it would be easy to propose ways for us and Clippy to cooperate (such as Clippy commits to dedicating x% of resources to simulating post-humans if he tiles the universe, and we commit to dedicating y% of resources to simulating paperclips if we tile the universe).
Clippy would tile the universe with computronium doing something like recursively simulating universes tiled with paperclips.
That is an interesting claim. I would be surprised to find that Clippy was content with simulated clips. Humans seem more likely to be satisfied with simulation than paperclippers. We identify ourselves by our thoughts.
What are the plausible scientific limits of molecular nanotechnology?
Richard Jones, author of Soft Machines has written an interesting critique of the room-temperature molecular nanomachinery propounded by Drexler:
Rupturing The Nanotech Rapture
The entire article is definitely worth a read. Jones advocates more attention to "soft" nanotech, which is nanomachinery with similar design principles to biology -- the biomimetic approach -- as the most plausible means of making progress in nanotech.
As far as near-term room-temperature innovations, he seems to make a compelling case. However the claim that "If ... such devices can function only at low temperatures and in a vacuum, their impact and economic importance would be virtually nil" strikes me as questionable. It seems to me that atomic-precision nanotech could be used to create hard vacuums and more perfectly reflective surfaces, and hence bring the costs of cryogenics down considerably. Desktop factories using these conditions could still be feasible.
Furthermore, it bears mentioning that cryonics patients could still benefit from molecular machinery subject to such limitations, even if the machinery is not functional at anything remotely close to human body temperature. The necessity of a complete cellular-level rebuild is not a good excuse not to cryopreserve. As long as this kind of rebuild technology is physically plausible, there arguably remains an ethical imperative to cryopreserve patients facing the imminent prospect of decay.
In fact, this proposed limitation could hint at an alternative use for cryosuspension that is entirely separate from its present role as an ambulance to the future. It could perhaps turn out that there are forms of cellular surgery and repair which are only feasible at those temperatures, which are nonetheless necessary to combat aging and its complications. The people of the future might actually need to undergo routine periods of cryogenic nanosurgery in order to achieve robust rejuvenation. This would be a more pleasant prospect than cryonics in that it would be a proven technology at that point; and most likely the vitrification process could be improved sufficiently via soft nanotech to reduce the damage from cooling itself significantly.