One side benefit of this approach is that getting the final aggregate is cheap, where compacting an append-only log table might not be.
This makes some intuitive sense, though: general purpose databases are expected to be _pretty good_ at handling the case of "add new data" with no other specific conditions, e.g. on other rows or tables' existing data.
I also agree with your last point. Running count() all day on this wouldn't be great, and compaction would take real time. I assumed that most high throughput write scenarios for something like an event count or view count can be a few minutes (or hours, or days) out of date, at which point read caching would be my first stop before clever summation algorithms, which are still pretty cool.