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You're generally limited to two ejections barring any disqualifying health issues. The military doesn't like to throw away its personnel investments when they've gained some hard won experience.
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How so, because of the damage to the body?
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They impart significant g forces (~15g) in line with the spine. Compression fractures are common, and most people permanently lose height as a result of the event. The goal is to provide a result better than death.
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