I promise, you're unlikely to see an "everyday American" driving an F650. There might be a literal handful of exceptions out there somewhere, but most people will only ever see this in industrial applications. Most often you'll see a 650 outfitted with a cargo bed or a (extra large, for towing big rigs) wrecker setup, or something large, robust, and industrial like that. This is just a publicity/marketing stunt. 99% of Ford F350 and larger trucks you will ever see will be industrial/cargo/heavy equipment moving/etc. industrial job vehicles. It's even relatively common to buy the truck, and buy the bed you need for your industrial application, custom. This is not something you'll see set up like a pickup truck in very many American driveways. The handful of those exceptions are the same sort of enthusiast niche that will hot rod customize to a ridiculous impractical degree a regular car, just to say they can. Very small group.

Reacting as if this is real is just as insane as thinking it's really common for somebody to trick out their excavator and drive it to McDonald's.