^^ This. Arguably, miles don't matter at all on these trucks anyway. With a 5-digit odometer, they've all likely rolled over a couple times. Mine had "78,000 original miles" according to the ad, but it was already on its second V8

. Now it's on it's 3rd V8, and has 82,000 miles on it - so that means it has averaged about an engine every 20,000 miles if the mileage was accurate. The 283 I pulled was even rebuilt/bored out to the max - so who knows, maybe the 283 had been in there for 178,000 miles itself? Even if odometer hasn't rolled, age does just as much harm as mileage to a lot of parts, as do PO's who have no idea what they're doing - like the guy who put that steering box on your truck.
For comparison - my steering gear fix/replacement started on page 5 of my thread. For some reason it won't let me paste the link below - but page 1-8 pretty much covers what a mess it was an how it was fixed.
I had a shop do mine, and if I was going to do it again, I'd do a few things differently (sleeve the front cross member, raise the box slightly for better shackle clearance) but at least with my current setup I don't need to worry about the box falling off while I'm driving.
Your manual steering box conversion looks as bad as my saginaw power steering conversion did when I bought it. Why people think welding a cast box to the frame is an acceptable installation befuddles me. You're asking for trouble with that setup and you'll want to get it fixed correctly. Ideally, you want a setup that bolts through your frame horn and is sleeved internally. You also want a pipe sleeving the hole through your front cross member, though, admittedly, mine doesn't have that.
1. If it's already V8 converted, you should already have the bolt holes and accessory mounts to install a power steering pump - you'll just need to find a pump, pulley, bracket, and a belt to run them.
2. You already have a hole in your frame - the power steering saginaw box will install in the same place. If installed properly, you can ditch the spud shaft all together and connect the steering rod right to the steering box with a U-joint. This puts WAY less flex/tension on the splined end that has been sheared and also saves the rear seal on the power steering version.
3. Not sure what your current steering shaft looks like, but if it's a solid column, it will come right through the steering wheel and into your face in a bad accident. You want a telescoping steering shaft that will collapse under the impact. Most people use DD cut-to-length borgeson shaft on these conversions.
Plenty of write ups on this forum on how to do it right. But what you have right now is dangerously wrong.