An effective muzzle brake serves two purposes; reduction of felt recoil and reduction of muzzle rise. The latter is often overlooked. I am not recoil-sensitive but I discovered the benefits of muzzle brakes in 2003 and never looked back. It has made me a better shooter/hunter. Most of my hunting rifles from .26 to .33 cal now sport a muzzle brake or suppressor. It is simply "my" personal choice and I am thankful that I do have the option.
With or without a muzzle brake, it is the end-user's ultimate responsibility to protect themselves from the noise level. I for one use PPEs (eyes, ears, hands, feet, etc.) even when operating high noise equipment at home, i.e., mower, snow blower, power drills, impact wrench, etc.