Earlier quoted context omitted.
Why do people use hosted databases instead of just installing them? I don’t understand it.
If you install your own copy, you are on call for it, and the colo is unlikely to offer much help. You also have to set up monitoring or you won’t even know when it fails. Then there’s replication. Backups. All this stuff is work that PaaS vendors are ready to automate away, if my time is expensive for the org. For fun, sure, dink around and learn as long as there are no customers to affect.
Not a huge sacrifice. Though I do get the argument of "I want to pay $5 and it to just work" and I've done so part of the times. Just pointing out that the upfront investment in doing it on your own is not so big.