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MorningBird said..
Yes extreme circumstances can overwhelm the best prepared sailor, but the vast majority of SARs are for people who should not be out there.
I have several friends who have been flight crew for Aerorescue over the years and they claim that the majority of their sea searches are from people that just want to get off (fatigued) acknowledging that that on itself may be part of either not being prepared or should not have been out there.