Disagree. Because the utility is seldom fully utilized in an urban environment, they are nearly pure fashion. They serve as a signaling mechanism the same way that a pair of Gucci loafers do, just for a different culture.
Utilization of private vehicles scales with income, not with population density. HN just all tends to live in "nice" places so they never see people using their vehicles to the max. This is true for all vehicle classes, not just pickup trucks.
Fashion is about signaling not whatever you happen to agree with.
Tattoos aren’t universal, what’s acceptable for Army special forces, goths, gang members, etc are all different. So, good or bad only exists in a specific context it isn’t something that any person can judge universally. Someone really can define good as whatever pisses people like you off.