Why do people even use S3 if that’s a risk? I really don’t get this, do most just not worry about accidentally wasting money or do they just not understand this risk?
It's one thing if you have a source of revenue so justify your S3 costs. My interpretation of the parent commentator's concern is that this person has opened up a multi gigabyte S3 file publicly and sent lots of traffic its way (via hacker news) for what appears to be a passion project.
This is a risk any time you host anything on the internet on any system that charges you for storage, bandwidth or CPU usage. It's fine to take that risk on as long as you're aware of it and keep an eye on your spend.
In this case I'm nervous because 43GB is a lot larger than most projects!