You have to go get a specialized company to make it look this way it does not come like this. Is the f150 ridiculous yes. But this truck is a far cry from an f150. It's like saying an f150 is equal to a flat bed tow truck or an international bobtail. F150 cost ~37,000 vs f650 cost ~70,000 and that comes with only the cab,nothing on the back where the bed would go.
These 2 trucks are not comparable because they are for 2 different markets.
Yeah you would be surprised to know who can drive big oversized vehicles with just a class c licence. I think as long as it only has 1 set of axles in the rear and under a certain length. Because I know people who drive large box trucks who shouldn't be.