The author's work with NASA HQ to increase astronaut safety by using prognostic and health management (PHM) technologies to create a preventive paradigm to replace their current reactive paradigm in which 17 astronauts have died and NASA's largest spacecraft program ever funded terminated as a result. In 2013, the author submitted his research he completed for the Canadian Space Agency's Manned Space program's Predictive Medicine Program to NASA HQ that identified why and how astronauts are damaged permentally from their journey in space with Captain Lisa Nowak's 3 mental illnesses she acquired and was diagnosed with in 2007 after her 4 space missions to the International space station identified as the proverbial "canary in the coal mine". In response the author's research, in 2014, NASA began a series of research projects that would refute the claims of the author's research, but surprisingly, affirmed the author's research and found new dangers and new unknown damage that astronauts suffer from going to space. The author compiled theresearch completed by the agencies and academic institutions and edited them to better reflect their results using terms and conclusions that NASA does not want Congress and the general public to learn that working in space is far more dangerous and harmful to anyone that goes to space and expecting to return as healthy as they they left on their journey.as NASA and the manned space flight industry portrays to the general public for pro-space exploration support and continue to receive the $18B/year budgets that NASA receives from Congress to meet the directions by the President of the United States who decides what and if NASA works on any particular manned or unmanned space exploration mission. each volume includes specific dangers and specific permanebnt damage that occurs from each of the dangers thus illustrating that the space exploration operations model that is used by NASA requires replacement with one that includes providing astronauts artificial gravity via rotating space station to replace the 3-axis stabilized ISS that forces the on-board astronauts to live in micro-gravity and thus suffer unimaginable as identified in the results of the research included and the irreparable damage to an astronaut's brain and body that usually shows up longer after leaving the astronaut program. Appendix 4 is the latest results of the impact on Scott kelly's 10 month space mission from NASA taken from a press conference in April, 2019.