Quite. They’re on chronic meds and physical therapies.
Soldiers need be in a condition where they can be told (by orders or circumstance) “here’s an M16, go survive in a battle zone for a week” with no food, meds, support, etc. We have enough healthy volunteers without having to resort to those fixated on self-mutilation.
The “altered” men with fake “vay-jai-nahs” have to “dilate” for their rest of their lives, however short, to keep the wound from healing shut.
How suitable is that for military service?