Things are pretty fantastic when you use them for that they’re made to do… Try safely carrying 20 4’x8’ sheets of sheetrock in a small car… Or try carrying two bags of groceries in a sedan’s trunk without anything holding them in place…
Why have them so high up off the ground though? Unless they’re made for loading docks
The one in the picture isn’t stock, the owner made it impractical unless he pulls trailers with a goose neck on the regular.
A van will have more cargo volume for the same wheelbase, be easier to load, and have the cargo be covered from the elements. Those are made for carrying stuff. Pick-ups are made only to show that the owner is compensating for something.
Pickups let you load stuff as high as you want to and the open sides can make things much simpler. Try loading a couple of loads of dirt in a van.