When Harmony Medtech: Biomedical Pioneer was published with the Android - Netrunner Deluxe Set Honor and Profit, the first reviews saw this card as a Fast-Advance-ID. Unfortunately it didn't take off. Maybe Fast-Advance was just the wrong philosophy for this ID.
What it is: 6 Agenda Points for winning and a minimum of 40 cards per deck means I can lower my agenda density by including only 3-Pointers. The Biomedical Engineer let's the runner dig through R&D. 6 Agendas in a 44 card Deck means, that the runner only has a 13,64 % chance to find an agenda.
What it is not: Harmony Medtech: Biomedical Pioneer is not about damage dealing or fast-advancing. Its not even about keeping the runner out of your servers.
Instead it walks the same fine line as Nisei Division with all its Psi games is. A first round Mushin No Shin plus Executive Retreat or Utopia Fragment with a Chimera in or maybe just a Paper Wall in front of it, can mean a pressure point for the runner as you are on match point.
All in all, Harmony Medtech: Biomedical Pioneer is perfect for tournaments. It's incredibly fast (No game lasts longer than 15 mins) and every game is like walking the razor's edge.