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The physical long term effects to your ears will become moot.
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They're not moot, by any means, but they do rank much, MUCH,
MUCH lower on the scale of priorities when compared to losing one's life or facing the serious injury or death of a family member.
Of course, as Sparks1957 points out, no one is suggesting that hearing protection is a must in deadly force encounters, just that it doesn't make sense to go without it during practice.