Wish I knew. The engine has never been worked hard for very long; perhaps the rings never seated quite right. At some point, the thermostat was malfunctioning. The gauge never showed the temp becoming alarmingly high. When I noticed that it was climbing higher than I thought it should (uphill with a light-ish trailer), I had Cummins Atlantic take a look. They found the internal temperature was exceeding 230F, even though the gauge was indicating 190 or so. I would imagine this 'overtemp' heated and hardened the seals, causing them to fail sooner. When I was made aware of the completely failed front seal, I had it replaced.
I believe I said that I haven't changed the oil in 200K miles. When I change the filters, I add makeup oil to replace that which is in the filter(s) (about 1 qt. each). That's enough to replenish the additives. Replacing oil lost to leakage further replenished the additives.
When the crankcase was 'overpressured', oil could not return from the top and found different ways to 'escape'. Relieving the pressure allowed the oil to return to the pan; this dropped my oil consumption from 1 quart per 500 miles to 1 quart per 2000 miles or so.
As I understand, some engines simply have more blow-by. I believe the excessive blow-by happens mostly during high boost (15-28 PSI). I am quite aware that the engine has problems; I hope I didn't insinuate otherwise. If I had the funds, I'd pull the engine and rebuild it; alas, I'm still in a financial hole from a failed business venture a few years back. Until I have the money, the truck gets driven the way it is.