It's clear that many folks don't understand how the price dynamics of ETFs with underlying securities operate. A share in an ETF is a fixed basket of securities. If the price of the ETF differs from the basket, the ETF share creation/redemption mechanism drives the price back to the fair-market value of the basket. If the price of the ETF share is too high: Market participants will short the ETF and buy the underlyin…
The only difference of this from actually shorting is the time. During the time of this operation, there may be adverse movement in the underlying price making the arbitrage too risky. It's true that fully efficient arbitrage may not happen.
But saying that there's no mechanism to maintain equilibrium price of the ETF is entirely wrong. If the ETF price is $60/BTC and the spot is $85/BTC, there's a huge incentive for investors to buy ETF and redeem and then sell in the spot market, even if it takes days. People who already have both BTC and USD in their hands can also quickly increase their BTC holdings, for free!
Therefore, the ability to short underlying simply doesn't matter, as long as ETFs can be created and redeemed fairly freely.