Tools of a tool:
I wore these Peltors last trip to Iraq:
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They fit under my ACH with no problem:
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They simultaneously protect my hearing and allow discrete comms with this:
I wear these North Sonic IIs under the Peltor muffs for additional noise reduction(about $9.00 at Cabelas):
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I've suffered high frequency hearing loss over the years (age, aircraft, weapons firing, explosions, rock music, nagging) and always wear these plugs under shooting earmuffs at any range. They've been around since at least the early 1980s. I bought my first pair 1982 and still use them today. Sonic IIs are also available with custom fit ear plug bodies to go over the flutter valve (which looks like a small cylindrical silver battery). When you need something unobtrusive which allows normal hearing but protects against shockwave decibels (e.g., gunshot report), these plugs are pretty damn useful to anyone who shoots or is around loud music.
As the OP's originally referenced article pointed out, every single American servicemember sent overseas is fitted for and issued a newer model of earplug. I can't recall seeing anyone outside the wire who didn't use them or some substitute (like mine). Most Soldiers, Sailors, Marines, Coasties, and Airmen are not stuck on stupid. They can anticipate the pain of IED ruptured eardrums; they kit themselves out accordingly.
Even in the States, troops have been issued these (or the newer versions) for years and are generally required to have secured to their blouse or LBV for all training:
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The military (as an organization) views its "tools" as a significant investment and spends an absolutely extraordinary amount of money (compared to any other force on earth) in order to protect our sons & daughters. This includes their hearing. Soldiers cost ungodly amounts of money to train, equip, and employ. Deaf Soldiers are less useful. Protecting their hearing is a combination of altruism AND hard economic reality.
We are issued hearing protection, train with it, enforce its use, and screen servicemembers with required annual hearing exams. The digital results are part of a medical database used to monitor every single Servicemember over the course of their career (long or short) and detect trends/solutions for the force as a whole. Additionally, everyones' hearing is tested both before and immediately after each combat deployment (further tracking baseline hearing loss data).
The days of sticking something handy in your ear are long gone...as they should be. I used to gun mortars with a cigg butt or foam plug in one ear and a finger in the other (in order to be able hear the Fire Direction Computer's shouted commands)
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Does everything work all the time? Of course not. Life is dangerous and (ultimately) nobody gets out alive.
Some folks are idiots and simply fail to utilize protective measures already provided. "Ooooh...my body armor plates are tooo heavy". "Ooooh, my earplugs are uncomfortable and I can't hear my IPOD...". Darwinism at work...deaf or dead.
Should American taxpayers foot the bill for deteriorated health (including hearing loss) after a lifetime of service or service connected wounds? Damn straight. (BTW: All Servicemembers pay taxes and social health care entitlements). Those who complain about the cost are doing so on an internet, powered by abundant and reliable electricity, from the safety of their home or office, in front of maintained streets, leading to stocked supermarket shelves, with an audiologist just an appointment phone call away.
Every bit of that secure existence is bought and paid for in perpetuity by the blood of military members. It always has been. If you and I have to pay for my hearing loss when I retire...tough...that's the social contract. Otherwise we can all just flip the lights permanently off and begin eating our neighbors while waiting for the next wave of barbarians to surge through the gates. Think it can't happen here? Guess again. Get out and see the rest of the world. You'd be shocked at how cheap human existence is held across most of Planet Earth.
BTW: The Peltors I'm issued are pretty spendy and I wish to thank both myself and Walking Arsenal for our tax contributions to my auditory health.
Enough said on that. I apologize, its a sore spot with me, and it was a bit of a knee jerk reaction.