The post discusses OpenAI's experience with scaling PostgreSQL for their infrastructure and the challenges that come with self-hosting this relational database management system. User comments express skepticism about the advancements claimed, emphasizing that many of the issues and features mentioned are standard practices even at smaller scales. There are calls for cloud providers to enable enhanced index management functionality to support better scalability, highlighting concerns over the ability to ensure optimal index usage without risking performance degradation. Commentary indicates that while OpenAI's requests for features from PostgreSQL developers may not be groundbreaking, self-hosting remains attractive for companies needing customization. However, larger firms are encouraged to explore tested cloud solutions like AWS and Aurora PostgreSQL, which may simplify their scaling issues.