A few years ago, exiting the vehicle on the left side to come around to the curb, he was struck by a car in a hit and run (they never caught the driver). Spent 6 months in hospital learning to walk again, and while he’s since somewhat recovered, he’s going to spend the rest of his life living in significant pain.
Not having to exit into the road, when the job involves people exiting the vehicles hundreds of thousands of times per year, matters a lot for the long-term safety of the delivery force.
But in most suburbs (which is a lot of the US), at least where there are mailboxes at the curb (and not mail slots on houses), the postal worker will just drive from mailbox to mailbox, dropping mail as they go, never leaving the vehicle, only getting out of their seat when they need to add more mail to the box sitting next to them.
I don't mean that it doesn't matter at all, the procurement process needs to make sense and not be a path for graft, but there's reasonable volume there to spread fixed costs across.
There there are conversion kits for common rural postal vehicles (jeeps)