I think Google has a similar tool freely available, although I can't find it right now. Does anybody know?
One reason people may prefer a cloud solution is there is no other infrastructure to set up. It turns out mod_pagespeed is both CPU and cache intensive which means rolling this out on your servers requires beefing up your server infrastructure.
We may end up using their technology & contributing to the project at some point, but right now it's very alpha and breaks a lot of sites (including Google's own!).
They're also missing most of the browser-specific optimizations that we're doing, specifically around mobile.