[FactolSarin]

Because if you're a startup, you probably don't want to deal with something like that. You want something that "just works."

[Alupis]

Depends how "real" of a startup you are.

VC backed? Ya, you'd probably just pay someone else to handle it - it's not your money after all...

Bootstrapping with a friend as a side gig until you have something viable... you're probably going to go with the free/cheapest option possible - scaling up as necessary and not a second before.

[gtirloni]

If you're bootstrapping, you use the online hosted solution.