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thats_bone's profile
Alex D. Bibbey, MD
Alex D. Bibbey, MD
Alex D. Bibbey, MD
@thats_bone

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Alex D. Bibbey, MD

@thats_bone

Diagnostic radiologist, opinion haver, runner. Health policy, economics, law and finance. Partner, Greensboro Radiology, Duke Radiology '17. Opinions my own.

Durham, NC
greensbororadiology.com/about/ourphysi…
Joined March 2014

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    3. Kyle Casiglio‏ @KCasiglio 12 Apr 2020
      Replying to @mattyglesias

      I imagine a private sector delivery service is a little more difficult to manage in Idaho than....literally any European country

      1 reply 1 retweet 44 likes
      Alex D. Bibbey, MD‏ @thats_bone 12 Apr 2020
      Replying to @KCasiglio @mattyglesias

      Sure but private industry manages to do it, keep in mind that private businesses are generally not bound by policies that don't make any practical sense such as "any letter can be delivered from any point A to any point B for 55 cents"

      10:57 AM - 12 Apr 2020
      • 1 Like
      • Rick Fantasia
      11 replies 0 retweets 1 like
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        2. Matthias Raives‏ @matthiasraives 12 Apr 2020
          Replying to @thats_bone @KCasiglio @mattyglesias

          That policy makes a great deal of practical sense if your goal is to maintain a postal system that works well for its users rather than one that makes the people that own it a lot of money

          1 reply 3 retweets 133 likes
        3. Alex D. Bibbey, MD‏ @thats_bone 12 Apr 2020
          Replying to @matthiasraives @KCasiglio @mattyglesias

          Maybe, but there is no particularly compelling reason that the postal service should be generally designed to subsidize the high cost of delivering mail to far-flung locations and in fact it is a big operational problem that threatens the continued existence of the USPS!

          53 replies 0 retweets 0 likes
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        2. Alex D. Bibbey, MD‏ @thats_bone 12 Apr 2020
          Replying to @andmoo222 @KCasiglio @mattyglesias

          Other than the fact that it just really costs much more to transport a letter from Key West to Nome than between ZIP codes in NYC!!! I'm not dictating the ethics or public interest, I'm saying it is not a price structure dictated by the actual cost of the underlying service

          4 replies 0 retweets 1 like
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        2. freedom rhymes with fuck you‏ @AuthorRMGreen 12 Apr 2020
          Replying to @thats_bone @KCasiglio @mattyglesias

          The government making sure that its citizens can send and receive mail to anyone anywhere in the U.S. at a reasonable rate is the definition of practical. You want the delivery of mail to also be restricted by profit and dependent upon location and income?

          1 reply 0 retweets 18 likes
        3. Lisa Simpson's REAL Magic Bear-Repelling Rock‏ @FERALROBOTS 13 Apr 2020
          Replying to @AuthorRMGreen @thats_bone and

          He does. He establishes this elsewhere. He thinks 'cost effectiveness' is a simple, logical thing that everyone ought to be able to agree on, & which does not have important societal components.

          0 replies 0 retweets 0 likes
        4. End of conversation
        1. ButtholeMachine‏ @buttholemachine 12 Apr 2020
          Replying to @thats_bone @KCasiglio @mattyglesias

          Except that makes sense. You just don’t care about access.

          0 replies 0 retweets 6 likes
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        1. mike‏ @FakeMikeMiseph 12 Apr 2020
          Replying to @thats_bone @KCasiglio @mattyglesias

          There's an Amazon warehouse within walking distance of my house. They don't offer any discount on s&h.

          0 replies 0 retweets 4 likes
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        1. Jason McGlothlen‏ @goddamnedfrank 12 Apr 2020
          Replying to @thats_bone @KCasiglio @mattyglesias

          Except private industry does not manage to do it by themselves. They all rely on the USPS for last mile service and the integration is so seamless that you don’t even realize it

          0 replies 0 retweets 4 likes
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        2. Willow  🍞+ 🎪‏ @RockShrimp 12 Apr 2020
          Replying to @thats_bone @KCasiglio @mattyglesias

          Private industry “manages to do it” by subcontracting back out to USPS for last mile delivery.

          1 reply 0 retweets 15 likes
        3. XrayAgent‏ @XrayAgent 13 Apr 2020
          Replying to @RockShrimp @thats_bone and

          Came here to say this; thank you.

          0 replies 0 retweets 0 likes
        4. End of conversation

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