The flip side of increased interior room is exterior width, poor site lines, increased weight, increased energy waste, increased danger to pedestrians, increased road wear…
Sure, a truck might be the best vehicle for your use case. It's probably the best vehicle for farmers, for example. But you could do all that with a 1970'd Ford F-150 just fine. Why does the 2023 F-150 have to be so much bigger, while not even gaining a lot cargo space?
I agree that pickups have grown ridiculously large.
Never seen a pick-up in New York or San Francisco. They're everywhere in Wyoming. No, you don't need it around town. But if you're hauling a snowmobile or going off road, even only a few times a year, the trade-off can be worth it.
I don't drive a truck. But calling a subjective preference "objectively worse" is reductive.