Yea, Sonic.net is amazing. I definitely recommend them if you are in their service area. Sadly they have been really slow to expand their fiber service, probably because they started in San Francisco, home of the NIMBY.
Ziply Fiber is another ISP that I can wholeheartedly recommend. They have service all over the north west states of Oregon, Washington, and Idaho (though still not _everywhere_). Like Sonic.net, their quality of service is excellent. No congestion, very limited downtime, no bandwidth caps. They’ve even posted pictures of the accidents that have caused downtime. Most recently that was damaged battery banks that released enough hydrogen gas to shut down and evacuate a central office. Before that it was a drill that took out a fiber bundle; cue pictures of the engineers splicing all the individual fibers back together.
> Haven’t these types of drugs been in use for ~15 years?
The predecessor of semaglutide, liraglutide has been sold since 1998. GLP-1 has been studied since the 70s. The first human was injected with GLP-1 agonists in 1993 IIRC.
Same for me... I have a relatively obscure last name, but that's my Gmail address. I receive numerous random emails intended for other individuals with a similar name.
I have no specialized knowledge in this, but I don’t think that cost efficiency is the primary reason for using trucks over trains. Because, if it was, rail with last mile by truck would probably win. Rail has a very low cost per mile by weight rate. But, it can be slow. Particularly when you consider that there are only a few routes across the country (across the Rockies), and trucks can go directly from point A to point B without needing to connect to a rail hub at both ends.
In someways it seems similar to why the hub and spoke model has fallen out of favor for airlines. It might be more efficient to have one large flight between hubs and two small flights to regional airports, but passengers would rather have a direct flight.