SF went through this same type rigamarole before and a 91B4S could select either a CIB or CMB as they (1) either had both MOSes and had served in both roles or (2) had simply served in both roles and had an EER stating such a duty position (e.g., Strike Force Company Commander or Mobile Strike Force Reconnaissance Platoon Leader). Some chose the CMB as a matter of personal pride in being recognized as a combat medic, others chose the CIB because--as a Class 1 award vs a CMB which is a Class 2 award--it was worth more points on a promotion board. MOSes other than 11B/C (e.g., 12B, 05B) were only considered for the CIB and never the CMB.
That was then...don't know the deal now.
Richad's $.02
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“Sometimes the Bible in the hand of one man is worse than a whisky bottle in the hand of (another)… There are just some kind of men who – who’re so busy worrying about the next world they’ve never learned to live in this one, and you can look down the street and see the results.” - To Kill A Mockingbird (Atticus Finch)
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