Orchestration is dead simple and mostly automated using off the shelf, open source tools. If a server goes down, it’s a few minutes to replace it. The cloud based hosting is a fixed cost each month - no usage based surprises.
Meanwhile, for clients, spent huge amounts of time fixing broken Kubernetes setups and hit serious design constraints because of usage based pricing on their PaaS infrastructure like being unable to do complex queries from a database.
I wouldn’t think twice about the same query on our in house hosted DBs on $400 servers.