The other part of the tradeoff is that inserts and many other write operations are less expensive in heap tables. A Big Table in InnoDB, measured in "when do I start having to spend a lot of time troubleshooting this table's performance" is about 1% the size of a Big Table in Postgres. TokuDB was introduced for MySQL for a reason.

Heap vs. Index organization is a classic tradeoff of database design.

Now, if you're saying "it would be really nice if Postgres had the option of index-organized tables" I'd agree with you. I'd love to have that, as an option.