>Very few organizations are able to stay efficient on the long run as they scale
Simply using AWS doesn't do anything to help with this in that same long run. Give it a decade or two and those same organizations will suddenly have multiple bureaucratic departments to approve new AWS resources and spending.
All AWS is offering is a channel that a bureaucratic process hasn't been developed for _yet_ and the organizations hivemind response is to allow its usage freely because it doesn't fit in the existing form template of rules