It is accurate.
Dealerships, especially chain dealerships, pay their techs book rate. If the book says it takes 4 hours to replace a component, that's what they get paid, even if it takes longer. Book says 4 hours to replace a starter, but it takes 6 hours? Tech eats two hours of labor. Who sets the book rate? The manufacturer. Ford lowballs repair times so they don't have to pay out as much in warranty costs.
Ford designs vehicles to be assembled as quickly and cheaply as possible, maintenance is not considered, even for parts that are common wear items. Look at this engine bay. This company doesn't take anything seriously:
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Tech has to remove all that shit to do just about anything, and every job is a giant pain in the ass.
Conversely Honda/Toyota are made to be repaired for the most part. Engine bay of CR-V is neat as a pin and easy to work on. Common wear items are easy to replace. They generally use quality parts to begin with, so they don't need to replace them as often.
Honda techs have a good job. Usually owned by single dealership entity, and pay the techs fairly. Most of their work is replacing common wear items. Cam belts, motor mounts, fluid changes, brakes. Diagnostic equipment is provided by the dealership.
Toyota has a similar approach. Make good components, make common wear items easy to replace. Make the thing serviceable. New gen Tundra was popping engines. They tried the saving money bit and was providing short blocks as replacement, but quickly realized that was more $ than they expected, so they went to full long block replacements. Complete unit w/turbos, ready to install. Tundra requires cab off to do this. Time for a complete engine swap is 6-8 hours. Cab off, old engine out, new engine in, cab on. Ford cab off for F-150 itself takes 6 hours. Ford also makes them a pain to service so they can charge more money on fleets and the like.
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Why the big difference in philosophy? Toyota/Honda don't get massive subsidies from any government, so they understand that making a quality product saves them cash in the short and long term. This drives every step of their design and manufacturing processes.
They also require high customer service standards from their dealerships. Quality product, quality service = very high % of repeat customers = long term profit.
It isn't just Ford, but European trash like BMW, Audi, MB. 75% of their sales in the USA roll out the door as business leases. They build their cars to be reliable for 3 years, then fuck it, and fuck the people who buy and own them. $10k for TWO adaptive shocks on a 2021 BMW "M" SUV. The Ultimate Driving Machine is being funded by USA tax write offs. Ending tax write-offs for non USA based companies would kill VAG and MB almost overnight.
Similarly, ending subsidies and gimmedats that GM and Ford receive would kill those companies dead in their tracks.