The article mentions this, but that’s strongly enough in my opinion. With fly you have no managed PostgreSQL. In my opinion, it’s not really comparable on cost to aws when Postgres is in the stack. You do read about interesting hacks where someone will set up rds in a region that may be single digit milliseconds away from a fly region. then, presumably, you could put PG bouncer on a sort of bastion host that connects…
It isn't "Managed Postgres," but the differences are minimal. RDS is ultimately a solution for people who look in the mirror and confidently say "you don't know how to run a database."