It's not necessarily worth it with my Outback, which is itself a large car that city folks would sneer at.
But until this F-150 EV was introduced I was pretty much fully convinced I was buying a Tesla when my Outback needed to be replaced.
Spending $40-50k on a Model Y vs one of these F-150s is a whole different scenario, that's all.
Gas F-150 I'd feel like a jerk on my commute, EV F-150 I would not, I'd feel better than doing the same in my Subaru, and in many ways it would fit my use case better.
My Outback was < $30k and it's 8 years old. Putting dirty stuff in the back of it is not the same as putting dirty stuff in a brand new Tesla.
In general the first step to cutting emissions is electrifying everything that can be electrified. Whether moving lots of metal around in a vehicle is efficient regardless of energy source wreaks of the perfect becoming the enemy of the good - or in this case the perfect being the enemy of the critically needed change.
Try crunching the numbers: you'll see that it's not going to be feasible to replace all of the vehicles on the road with electric cars and trucks, while also electrifying everything else. We need to take a triage approach to energy use, strictly rationing the remaining fossil fuels.