That is the whole point. Unless we get serious, any moon base is a disaster waiting to happen. The finest medical care has to be available on the moon immediately. Remember, getting down from the ISS is a couple hours whereas getting back from the moon is a few says. A moon base must be able to support itself for at least a year. How masny transport ships would we need on the moon to get people back and forth? At this point we don't know how available water and other essentials on the moon are. It would be great to have a moon base but it would have to be a complete extension of Mother Earth.Why bother going up a bit to the ISS when a larger shot takes us to a moon? Already the ISS sucks billions for a tin can that will soon fall to Earth in a crash and burn spectacle. A depressing thought to me.
The moon has water, good for people and essential for fuel. The ISS has got nothing.
As for medical care, that is an important concern, but the moon is only a few days away. The proposals to go to Mars I see as nuts because medical care is a year or two away at some points. Not everyone is interested in space, but as it stands now, there is no space future here to look forward to.
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