Here in the frozen hellscape of maine, nearly all snow mangement is done by dedicated equipment. They use skidsteers, dump trucks, front end loaders with giant buckets or snow blowers, and what few trucks they do have don't plow, they spread dirt or salt, which the dump trucks also can do so they are only used to dirt/salt small parking lots.
Individuals buy push snow blowers or snow blower attachments to their lawn tractors.
Occasionally a business will contract someone with a plow on a truck but that's not common because the contractors who actually deal with this regularly have dedicated equipment that's better than a plow on a truck and using a shitty plow on a standard truck is actually not easy.
Even the parking lot in my private apartment complex is cleaned after a snow storm by a company with multiple front end loaders and skidsteers.
https://d3v9db8ug40up8.cloudfront.net/styles/large/s3/2020-0...
This is colloquially called Unimog (successor, kind of), a general purpose utility vehicle with awesome drivetrain, huge tires, great weight distribution, not too heavy, serves winter and summer in several roles.
