So many times I've been on a great streak and I just can't sleep right anymore and it ruins it all.
BioMyth
Using the dictionary definition of a term like sanitary when applying it to an industry with its own specific definition, food prep, makes your argument seem like it is a bad faith argument. I don't think that is your intent here, I just want to bring to your attention that your point will be missed if you use a term with multiple contextual meanings in & out of industry since it makes the argument linguistic rather than point by point.
I'm on the bandwagon of not hosting it myself. It really breaks down to a level of commitment & surface area issue for me.
Commitment: I know my server OS isn't setup as well as it could be for mission critical software/uptime. I'm a hobbiest with limited time to spend on this hobby and I can't spend 100hrs getting it all right.
Surface Area: I host a bunch of non mission critical services on one server and if I was hosting a password manager it would also be on that server. So I have a very large attack surface area and a weakness in one of those could result in all my passwords & more stored in the manager being exposed.
So I don't trust my own OS to be fully secure and I don't trust the other services and my configurations of them to be secure either. Given that any compromise of my password manager would be devastating. I let someone else host it.
I've seen that in the occassional cases when password managers have been compromised, the attacker only ends up with non encrypted user data & encrypted passwords. The encrypted passwords are practically unbreakable. The services also hire professionals who host and work in hosting for a living. And usually have better data siloing than I can afford.
All that to say I use bitwarden. It is an open source system which has plenty of security built into the model so even if compromised I don't think my passwords are at risk. And I believe they are more well equipped to ensure that data is being managed well.
It is amazing! A couple years ago I played through the Metroid series (not every game original/remake counted) and it was one of my top games. It did have one issue IMO, once you get the screw attack there is an expectation that you are familiar with how to use it, which as a new player, took me a very long time to get past. But other than that I loved my time with it & didn't have any complaints!