And that's precisely because the option isn't readily available here. We can argue merits of different countries versus the US, but at the end of the day it is what it is unless something changes at the legislative level.

When say a contractor goes to purchase a work vehicle, the option is either a van, which have pathetic motors and hauling capabilities, or a pickup from one of the big 3 that can be outfitted with a utility body. Sometimes you can score one of those Isuzu cabovers, but they're typically outfitted with a full sized box on the chassis, and they're far and few between, and often more expensive. Vans are also stupid expensive, especially 4x4 models, because of the van life crowd. The options really are much more limited than other parts of the world, and I truly believe it's to keep prices high and the money vacuum humming. Plus, you can find an older utility body truck for a fraction of the cost of a used van (I just did this 6 months ago; granted I'm in California, so my experience may not be the norm).

I ended up buying a Ram 2500 when looking for a work truck. I would've loved a 25/35 class van, but I need 4x4 (mountains, snow), and because of the premium those models fetch due to demand from the van life people, that wasn't an option.

And I dunno about other people, but I know what's in front of my truck at all times. It really isn't that hard to mind your surroundings.

Sure, but as I responded to someone else, show me a viable option that's readily available in the states for a contractor or someone delivering heavy stuff that has the power and 4x4 to do the thing at a reasonable price. I'm all for getting some of these European/Japanese solutions over here, but they simply aren't available or affordable, and so we're stuck with oversized pickups and under powered vans until something changes.