I would think a lot of clients would want that.
On AWS's side, I think us-east-1 is legacy infrastructure because it was the first region, and things have to be made replicable.
For others on AWS who aren't AWS themselves: because AWS outbound data transfer is exorbitantly expensive. I'm building on AWS, and AWS's outbound data transfer costs are a primary design consideration for potential distribution/replication of services.
And yes, AWS' rates are highway robbery. If you assume $1500/mo for a 10 Gbps port from a transit provider, you're looking at $0.0005/GB with a saturated link. At a 25% utilization factor, still only $0.002/GB. AWS is almost 50 times that. And I guarantee AWS gets a far better rate for transit than list price, so their profit margin must be through the roof.
In general it seems like Europe has the most internet of anywhere - other places generally pay to connect to Europe, Europe doesn't pay to connect to them.
us-east-1 is so the government to slurp up all the data. /tin-foil hat
The other concerns could have to do with the impact of failover to the backup regions.
"Changes that I make are not always immediately visible": - "...As a service that is accessed through computers in data centers around the world, IAM uses a distributed computing model called eventual consistency. Any changes that you make in IAM (or other AWS services), including attribute-based access control (ABAC) tags, take time to become visible from all possible endpoints. Some delay results from the time it takes to send data from server to server, replication zone to replication zone, and Region to Region. IAM also uses caching to improve performance, but in some cases this can add time. The change might not be visible until the previously cached data times out...
...You must design your global applications to account for these potential delays. Ensure that they work as expected, even when a change made in one location is not instantly visible at another. Such changes include creating or updating users, groups, roles, or policies. We recommend that you do not include such IAM changes in the critical, high availability code paths of your application. Instead, make IAM changes in a separate initialization or setup routine that you run less frequently. Also, be sure to verify that the changes have been propagated before production workflows depend on them..."
https://docs.aws.amazon.com/IAM/latest/UserGuide/troubleshoo...