I've been running ~10 nodes for AdGrok for the last 3 months, and we've already had one node fail (in that it wouldn't respond to any ec2 cli command to shut down or even terminate).
That hardware failure rate is about what I'd expect if it was our own colo and our own machines. Stuff always breaks.
The bottom line is that EC2 installations need to be designed as semi-permanent. My preferred strategy is similar to how Google talks about their hardware (when they do), that any one server can go down at any time, but the overall setup is resilient to failure.
Can you use this as a VPS replacement? Probably. My guess is that your uptime will be no worse than some VPS provider. However, if you're storing information on the ephemeral storage, the onus is on you to get it to the new instance. I imagine that isn't generally the case on a VPS.
You may be able to mitigate this by using EBS (required in the case of these micro instances), but I've only used EBS a handful of times, and am no expert on the subject. If I understand their layout for these micro instances, it would simply be a matter of spinning up a new instance and spinning down the degraded node.