I remember few years ago reading about if on a Chinese magazine talking to the designer of the 8X8
He mentioned that the hydraulics for the ramp door when the development started it wasn't good enough , it had reliability problem.
So I think it might be the case that the disadvantage was price was paying by the need of a medical vehicle since it mainly deals with stretchers, and bigger doors is a must.
Also a doctrine thing , PLA like the idea of loading and unloading while the IFV is on the move , this is filmed consistently over the years.
A ramp door might just lest comfortable to use in this case though I don't think it is a engineering problem by this point.
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the New 8X8 have both for example , it seems to me that it has a big ramp door and a small side folding door.