It is, although you can have sharded PostgreSQL, in which case I agree with your assessment that you want random PKs to distribute them.

It's workload-specific, too. If you want to list ranges of them by PK, then of course random isn't going to work. But then you've got competing tensions: listing a range wants the things you list to be on the same shard, but focusing a workload on one shard undermines horizontal scale. So you've got to decide what you care about (or do something more elaborate).