International Maritime and Speedboat Standards for Repetitive Mechanical Shock Versus Similar Policies in the USA, the DoD, and the VA, the Health Disparities Involved, and Why These Difference Exist.

This White Paper Delineates International, United States, Department of Defense, and Veterans Administration Standards and Policy regarding Repetitive Mechanical Shock (RMS) in Maritime Speedboat Environments. It provides an overview of International and Regulatory Standards (ISO, EU, etc), US (OSHA, NSF) Occupational and Environmetal Medicine (OEM) flows depending on Occupation or civilian versus military status. It dissects the disparities that exist between these standards in particular in the US where fracturing and siloing of regulatory apparatuses exist and is not streamlined to work broadly. It describes how the DoD and VA have to date been able to circumvent policies designed for safety and accept greater risks without mitigating those risks reliably. Factual basis is presented without bias, and opinion is contained to one small statement about the necessity of tactical readiness in the military versus a just consideration of facts in the treatment, compensation, and recognition of the hazardous duties performed by specialized, volunteer maritime operators of fast boats through the existing channels designed to do so, but with strong presumption for their injuries caused by Repetitive Mechanical Shock as a bridge of connection to their service and duties. This White Paper was researched, templated, and edited with the Assistance of OpenEvidence AI, Google Gemini, and ChatGPT. It was edited by a Registered Nurse within the Nursing Scope of Practice in the interest of Health Promotion and Advocacy.