alt Hacker NewsAbsolutely yes. But you have to do this either way. So it's just purely additive work to run the infrastructure as well.
I think if it were true that the tuning is easier if you run the infrastructure yourself, then this would be a good point. But in my experience, this isn't the case for a couple reasons. First of all, the majority of tuning wins (indexes, etc.) are not on the infrastructure side, so it's not a big win to run it yourself. But then also, the professionals working at a managed DB vendor are better at doing the kind of tuning that is useful on the infra side.
Maybe, but you're paying through the nose continually for something you could learn to do once - or someone on your team could easily learn with a little time and practice. Like, if this is a tradeoff you want to make, it's fine, but at some point learning that 10% more can halve your hosting costs so it's well worth it.