I've noticed small companies are more worried about the actual bills coming in where as big companies are more worried about the perceived lack of speed/agility in their development.

We could spend time making sure we use the smallest aurora instances possible in AWS or we could standardize on a version to support and use the smallest size of that version that's available. We spend a lot on this extra capacity in some places, but it greatly increases our speed in other places.

It's all about trade-offs and what your organization values.