Hi Ryan,
You can prove that if $a,b$ are some elements in an algebra such that $[a,b]=\lambda b$ for $\lambda$ a scalar, then (in a context where this expression makes sense) $q^a b q^{-a}=q^{\lambda} b$. Therefore it's in fact not a deformation but the same relation with $q^H$ instead of $H$.
In my opinion, what is more miraculous is the existence of a non-trivial deformation of the Hopf structure. Although it does not leads to explicit formulas, the conceptual explanation for that comes from the Kohno-Drinfeld theorem, or more generally from the Etingof-Kazhdan quantization functor.