"These monstrosities" will exist in anything short of a significantly de-growthed society. OP's picture is not typical of an F650. They are usually converted to flat bed towing, refrigerated box trucks, utility cranes, ambulances, and dump trailers. If you don't believe me, well, here's a listing of used ones. Notice how many have anything like the original bed.
In Europe, Volvo and Mercedes make trucks just like it for the same kind of market. All Ford did here was take the cab of an F250 and put it on a beefier frame and drive train.
These are work vehicles, bought by people who do work. Unless you're suggesting an immediate de-growth to the point that we no longer haul anything heavier than a cubic meter of gravel in a single trip, they will be necessary.