You know what group suffers a lot from hearing loss? The horn players in Symphony Orchestras! Very high SPL in those crescendos. I've been wearing molded earplugs for decades now, but they make gauging dynamics and inter-band balances when you're performing very difficult.
Tinnitus worries...
I have had on and off periodic ringing in the ears for 30 years, (lots of live music) and back in March I decided to invest in a new home audio system, speakers, amp preamp CD player and cables costing about 7k, I have almost constant low level tinnitus now, my doctor says it's a cumulative thing and there is little that can be done. I hardly listen to music beyond normal talking decibels, and am very careful about any other loud DB exposure. Odd how the tinnitus became constant the minute I got my new system set up. I guess this is more of a warning than anything else, so be careful!