A few thoughts on hearing loss...
Apparently I was born with an ear infection and had to have drainage tubes at a very young age. When I was still in the single digits, fluid built up again to the point that I apparently learned (on-the-fly) to read lips well enough that it took my parents months to figure out that I had gone mostly deaf and the pipes needed cleaning out again.
Since my hearing had already been a major issue, when I was in my late teens and decided that I wanted to do something musical for a living (and at that point hadn't been to too many loud concerts) I knew what was at stake, and I started wearing earplugs any time I was in a club, at a concert, or playing in a band.
Now that I'm 35 and have been DJ-ing in clubs, working in recording studios, going to concerts, hanging out in clubs, etc... for the bulk of the last 20 years, I am so thankful that I got wise early. I know that age, the few times I've forgotten the 'plugs, the rest of the environment, my tendency toward ear infections, etc... have knocked a little off my top-end, but I'm sure I'm better off than many. As when I was young, I am still driven crazy by clocks and watches in the room with me, so I'm holding out OK.
My DJ partner, about 8 months older than me, is deaf as a post. When I take the headphones from him, it's loud *through *my *earplugs. I love feeling the thump when I'm on the dance floor as much as anyone else does, but I know the pressure wave that feels good on the chest doesn't feel so great to the little hairs in my cochlea.
I know that almost none of the kids we DJ for are wearing protection (no condom jokes, please), and judging by some of the trunk rattling I hear on the streets I fear that the next generation will be deaf. I see kids at concerts, clubs, and raves with their head practically inside the bass bins. It's no wonder that a 128kbps mp3 is just as good as a CD for most of them.
OSHA dictates maximum SPL level exposure for the workplace. Given that clubs and concerts are workplaces for the bartenders, security, soundpeople, etc... I imagine hearing protection must be provided for those on the clock. It is surprising to me that there are no limits on what the patrons are exposed to.
I guess if one chooses to deafen ones self, it's not the goverment's business to interfere. In another 10 - 20 years, a lot of people are going to wish it was, though.