Oddly, there are one or two discs that offer both lossless packaging formats (we've even got one in the office somewhere - it's a Japanese title I think, but forgive me, I can't remember the name).
Why include two competing formats on one disc? Can't think of a single sensible reason, quite frankly. So long as the sound included is of a half-decent quality in technical terms, I've always believed it's the sound designer (or designers) that makes the biggest difference to film sound, not the encoding system. Buy any movie with a soundtrack by Ben Burtt or Gary Rydstrom and you'll hear what I mean. Compared to that, the differences between DTS-HD MA and Dolby TrueHD are small beer. Of course, if my new Blu-ray movie turned up with 384kbps Dolby Digital I'd be narked, but that's another issue.
By the by, I'm more than a little excited about the BD release of Saving Private Ryan (Rydstrom's finest hour, in my humble opinion).