I tend to agree.
However, in my experience the reasoning for protons at very aggressive centers basically boils down to just ALARA. Things like R sided breast, T1/T2 lung, anal cancer, pelvic (endometrial), post op pancreas are all treated if they can get it approved by insurance by the rationale of "less dose is always better." No prior auth for medicare, so they can treat about anything, just with the risk of a later audit.
Assuming no gross nodes, probably the V45 of the bowel is lower with protons, but is it clinically relevant? No way it's a huge difference though, but advertising and patient bias always has them convinced the difference between photons and protons is massive.
I've actually had a patient that had pelvic protons for prostate with ongoing rectal proctitis issues. I was seeing him for something else. His comment to me was "just imagine how bad this would be if I would have had photons. Thank God for the protons."