Is there really that much money in databases as a service ? Setting up mongo for me is a one step process
yum install mongod-server && service start mongod yum install mongod-server && service start mongodEverything is a service waiting to happen.
With some of the more spectacular failures we've seen as a result of Mongo (I'm specifically thinking of FourSquare's downtimes), I think that their offering is quite timely and useful.
We're currently mulling over the options between switching our local Mongo installs to either MongoHQ or engaging 10Gen support to manage it for us. Both are significantly cheaper than hiring a dedicated person to manage it.