[cvandebroek]

We are running our services with Hetzner for years now. The less critical things run on low budget servers, for which we don't care too much if they break (everything is redundant - however, we had one hdd crash in 6 years).

The real important things run on dedicated server hardware. While these servers are more costly, they also are more powerful and unbelievably cheaper than AWS and alike.

I admit we do have dedicated people to work with our servers, but I can't imagine that other companies running on AWS don't have sysadmins to take care of their business critical services.

As for the support: It's always a question on how much you are willing to pay. Cloud services provide almost nothing unless you sign up for a dedicated support plan. We do have this with Hetzner, too. In case shit hits the fan, we can call them 24/7 (luckily this was never needed).