Ha! I guess I don't understand the bedpan meme, and maybe I'm glad for that.
I don't know anyone who has necessarily said they "need" a cleaning service. I don't "need" a cleaning service. I hired one when my baby was 6 months old (or so), and it was the best thing ever. Do I need it? Nope. Do I like it? Yes. Can I afford it? Yes. With a job, husband, and 2 kids - if I had extra time every day, or every week (no, I don't watch TV), I would spend it
1. sleeping (I don't get enough)
2. playing with my kids
3. exercising outdoors, because I don't get enough outdoor time or cardio, while I do get plenty of "incidental" exercise picking up toys, doing laundry and dishes and cooking, and carrying around a 22 lb toddler.
Pre-kid days, my husband and I would simply clean for 2 hours every Saturday morning. Toddler is at the age where he will not leave us alone for that long, so that arrangement is not possible. So when my kids are awake, I am engaged with them. When they are asleep, I am asleep.
This is the one glaring spot in my life that is not MMM approved. But part of MMM is figuring out what is important to you, and spending accordingly if you can afford it.