I fail to see why A-Rx would be considered expensive.
Compared to what?
I bought a '77 350 Impala wagon about twenty years ago that burned oil (typical Chev) with 112k on the clock. Gave it a major tune, all fluids hoses belts replaced along with some suspension/steering components and put new tires and rear springs on it. Repaired the A/C, drove it daily for nearly ten years and sold it for more than I paid for it. Still passed emissions with no convertor (fell off, you understand) at 240k. Beleive me, I wish I could have had something like A-Rx. Instead, at the once yearly annual tune it got good old GM "Cleens" thru the carb followed by some water dribbled from an 8-oz Coke bottle to try and clear up the carbon deposits. I tried all kinds of "flushes" as well.
Point is that I treated it as though it had but 12k on it: found the problems, fixed them, treated it well.
Every payday, the car got a full tank (none of that five gallons here and there b.s.), and whatever else it needed on an every six months basis.
And, yeah, it 'd be more difficult to imagine being any more broke than I was in much of that period. No car = no go. At all. Anywhere.
So here's my .02
That truck just needs a thorough going over per the above; the mileage is too low and I'll bet looking under the hood would reveal the need for TLC per vacuum lines, hoses and the rest.
Bet it can use other components as well.
A-Rx is cheap compared to a rebuilt head, paying a shop to replace the rear main, etc.
The cheap guy ALWAYS winds up paying out more.
Just do the high-mileage A-Rx routine, run some FUEL POWER, too, from hereon. They'll pay for themselves, and its dirt cheap compared to any more than an hour of book-rate shop time. Get that low-mileage, sludged/varnished motor cleaned out; do the trans, power steering and rear axle while you're at it. What's that, three bottles with maybe enough left over for a maintenance dose?
Unless he's going to sell it, then refurbish it and keep it up to par for another five years or so. Shine it up nice and good, too. That always helps.
Then take it out and drive it 100 miles per month on the Interstate. That vehicle is suffering from short trips OR not enough use (it sounds like). Fix it -- all of it -- and use it more regularly.
Good luck.