I'm not aware of a good back-to-back-to-back type test of HEI modules- and that would be something that I bet a lot of guys would be interested in, including ME!
The first thing I'd suspect is heat is killing them. Modules have to have heat sink compound on the back so they can use the distributor body as a heat sink. Otherwise the module can overheat and fail. I often hear dielectric grease being recommended as a heat sink compound. My thoughts on this is that dielectric grease is not good as a heat sink compound- BUT it may be better than nothing. I DO know there are good products available that will work much better than any non heat sink compound, like described
http://www.crankshaftcoalition.com/wiki/Hot_rodding_the_HEI_distributor#Module, under Module.
Next would be a good ground path. The screw hole reinforcement sleeve also acts as the ground. The distributor is grounded to the engine block through the clamp and secondarily through the gear, bushings, etc. (but I wouldn't rely on just that). If the clamp, clamp bolt, and/or distributor body has paint or grease on it, that could keep the module from grounding as it should. The engine block also needs to have a good ground path to the battery as well as the firewall.
The HEI needs full battery current to work right. I don't thing not having enough current would cause a module to fail, but too much current sure can. So if the voltage regulator were to be allowing voltage spikes, that could cause a module to fail.