Handicapped in what way?
When trying to maneuver on a race track at speed? Perhaps.
When loading a pallet of whatever at the big box store? Not so much.
When towing a fifth wheel? Not so much.
It is a tool built for a variety of jobs and does compromise some to achieve that goal. However, my 2015 Ram 1500 is light years ahead of my 1997 F150 in EVERY way I can think of: stability, acceleration, stopping, fuel mileage (towing and not), occupant safety, etc. Maybe you're just referring to heavy duties, which do all tend to be very tall. I haven't noticed them tipping over much though.