I will most likely buy new, but it seems to me that the path of the trunnion travels is dominantly on the top ÂĽ and never goes around. The weight of the car must sit right there, so if there is a little slop it would be at the bottom and perhaps a small amount of play would sit at the bottom and do no harm, but again I guess when I hit something on the road the force would go up. Again it is one of those deals like the rocker bushing where the bushing seems to wear less than the hard steel.
That's actually a common problem when the wear is caused by abrasive dirt in the joint. The particles embed themselves into the softer side, and then abrade the harder surface. (Kind of the way a diamond hone works, with specks of diamond embedded in a soft metal.) However, I've usually found that the bushes in the A-arms were pretty badly worn as well.
Definitely, all the load is on one side, the other side doesn't wear at all. If you think about it, the entire weight of that corner is resting on those two trunnions, and the arm only rotates by a few degrees. The only time the other side of the pin comes into play at all is when the suspension is at full droop against the stop (and you've gone airborne). And even then, it only carries the weight of the wheel, vertical link and brake caliper.
Many years ago, I "made do" by having the trunnion pins ground back to nearly round and installing new bushings without reaming them. It worked out well enough; but not something I would recommend to others. The machinist said the pins were too hard to cut in the lathe, they had to be ground. But I wasn't there when he did the work, it was a "friend of a friend" deal.
Another concern is wear in the threads inside the casting. Kind of hard to assess accurately, but those threads are also carrying the entire weight of the car. If they break, the results will not be pleasant.