Owning or renting a trailer can be a pain in the ass and isn't nearly as handy as a pickup truck. But I agree they are a reasonable option.
Rural people buy the majority of 1/2s and 3/4 tons because their environment allows them to. Some people buy life insurance and pay a premium all their life and some people buy pickups so they aren't crushed in a wiener vehicle like a sardine and forgo the life insurance.
Utility trailers are the go to for moving crap around, although they get the crap beat out of them which is actually the point. Of course you need to have a place to park it which excludes 99% of urban dwellers.