If it were me, hdt singled with large sleeper, some sort of deck to carry spare tires tools etc. Fridge microwave etc in the bunk. Espar type sleeper heater mandatory. Better ride, cheaper on parts, and easily serviced anywhere.
MDT with a large box toterhome, again, your creeping up on your weight, throw on a large fifth wheel and your getting close to max again. The smaller motors in the MDT will work harder, consuming more fuel and wearing out quicker. The HDT will just loaf along like nothing.
Some fleets I do, are reporting close to 9 mpg, 80000 pounds tandem tandem dry van, food for thought????????
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