Worst year for tuning yes. I never had issues with the steering rack, the only issues I had in mine was the dash cracking and that godawful transmission (545RFE) they all got through 2010. Otherwise no issues at all, modified the crap out of mine in other ways. I had finally had it with the trans issues (6 in almost 20 years was enough) and it was starting to have other age and mileage related issues (21 yrs old & 200k hard miles). I was going to swap in an 8HP70 but I needed a reliable truck and that was the only reason I replaced it.
Keep in mind, 2003 doesn't use EGR, so swapping in an 04-05 PCM & harness (have one available if interested) will require either installing an EGR engine or custom tuning EGR out of the PCM. Can't leave it active in the tune but physically not there. Also the later PCM & harness is not plug & play. Unless you're planning some serious power mods, there's no point replacing the setup unless you're going to account for a stronger (different) trans.
I have stripped the truck and most things I installed are still available:
https://www.ramforum.com/threads/big-red-over-time-pic-heavy.17732/