http://farm8.staticflickr.com/7182/6964996815_1f626fdbe5_b.j...
That's a large pickup: F-450
Here's another shot of the F-450:
http://www.tfltruck.com/wp-content/uploads/2013/12/car_trans...
I see a good number of F350 or larger trucks used to tow a bunch of other cars around.
If you want a big truck while still technically being a pickup, you might as well go for the F750:
https://s-media-cache-ak0.pinimg.com/600x315/71/c4/11/71c411...
http://www.ford.com/resources/ford/f-650-750/2016/homepage/c...
That said, I wish the US had a better selection of small cars. They're either absolute bottom of the line crap or extremely expensive sports cars, there's no mid range small coupe anymore.