I love subtle cultural differences like this where two sides are completely unaware that life could be any other way than it is. :-D
In the 80's and 90's in Sweden, I remember that every single car had a trailer hitch with a tow ball. And if you needed to buy something bulky at a hardware store, you borrowed or rented a small trailer. Every single hardware store has trailers for rent! Most large gas stations has trailers for rent! The only people who own pickups are farmers! Why would anyone want to buy a pickup?
Meanwhile, in the US, tow balls are extremely uncommon, and I don't think I've ever seen small trailers for rent anywhere.
Another funny difference is what camping looks like.
In Europe, it looks like this: http://www.widlundshusvagnar.se/valj-dragbil-och-husvagn-med...
In the US, it looks like this: http://www.rv-camping.org/towing-a-vehicle/
The first time I saw an RV towing a pickup I was completely dumbfounded.. It's on backwards! The car goes in front! Whyyyy?!?
They may not be as common but are still common. Many people have hitches on their cars. You're correct that there aren't a lot of places that rent small trailers but you can rent trailers small enough to tow with a car for $20/day from Uhaul.
But, and here come the funny cultural differences again, for many Americans it's always MAX STRENGTH or nothing. Regardless of the actual future needs, most would go "YEAH BUT WHAT IF I WANTED TO PULL A HORSE TRAILER? I CAN'T? THEN NO!"
I am not exaggerating at all when I tell you that the minimum acceptable size for this truck is larger than most freight/delivery trucks in European cities.
Here is a completely normal, totally average truck that millions of people in the US use as a daily driver and have on-hand because they occasionally buy some boards at the hardware store:
http://blog.sfgate.com/topdown/files/2015/09/the-14-most-aff...