I don't mind. I went with dedicated hosting. I found a supplier which had their own scalable infrastructure. They already had clients which had ad server type applications that scaled into the Billions and could handle traffic spikes. With that type of setup, it was a no brainer.
I'm a sysadmin with over 10 years with Linux. So for me to setup and support servers is pretty trivial.
The agreement I had with the supplier. They managed the network and hardware 24/7. I managed the setup and support of the servers from the OS up. This arrangement worked well and I had zero downtime.
Pretty much any data center in Virginia will be close to US-EAST. If you contact them for setting up direct connect pipes they'll also provide you with a list of locations to check out.
This saying holds such little value for so many engineers. They want uptime, ease of management, and security.
Most people aren't worried about squeezing another 3% performance out of thei servers. In fact I would say the slice-and-dice nature of VMs allows for better overall capacity usage because of over provisioning of resources. How many apps do you know that hover at 0.07 load all day long?
If you hadn't been a sysadmin, would still have chosen dedicated hosting? (Given that you have serious scaling requirements, of course). In other words: Would it be realistic to say that a service like Elastic Beanstalk saves on hiring a sysadmin?
Sysadmins / operations people should be able to handle anything below an OS better than your usual devops guys that would be able to build you a variation of EBS and their value further depends upon if your software has special needs that are not suitable for cloud / virtualized infrastructure.
I've heard of many start-up companies save plenty of money using dedicated hosting even without any operations / sysadmin pros around scaling to millions of users when the equivalent in AWS with relatively anemic nodes fared much better. In fact, WhatsApp only had a handful of physical servers handling billions of real users and associated internal messaging and they had developers as the on-call operations engineers.
I'm an ops engineer / developer and I'd use dedicated hosting if success depends a lot upon infrastructure costs. For example, if I started a competitor to Heroku at the same time they did, I'd definitely be having a very careful debate between dedicated / colo hosting and using a cloud provider tied intimately with my growth plans. Many companies have shockingly bad operations practices but achieve decent availability (and more importantly for most situations, profitability) just fine, so even the often-cited expectations of better networks and availability zones may be worth the risks of not caring that much.
I'm a sysadmin with over 10 years with Linux. So for me to setup and support servers is pretty trivial.
The agreement I had with the supplier. They managed the network and hardware 24/7. I managed the setup and support of the servers from the OS up. This arrangement worked well and I had zero downtime.