The number of things that these 24x7 people from AWS will cover for you is small. If your application craps out for any number of reasons that doesn't have anything to do with AWS, that is on you. If your app needs to run 24x7 and it is critical, then you need your own 24x7 person anyway.
Meanwhile AWS breaks once or twice a year.
I've only had one outage I could attribute to running on-prem, meanwhile it's a bit of a joke with the non-IT staff in the office that when "The Internet" (i.e. Cloudflare, Amazon) goes down with news reports etc our own services are all running fine.