I sleep well at night. How about you?
If its a trait mixed with above average intelligence, these people often climb careers like ladders, and getting to the general/admiral level involves tons of political games and quid pro quo played right for decade(s).
What I want to say with all this - you bet those folks sleep well at night. They've sent 18-year old to (almost) certain death from time to time. Don't expect everybody in the world to share your morals, however sad it may be.