We've put mice in front of a particle beam; that's about the extent of what we know about the biological impact of heavy ion radiation.
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Did you somehow forget ISS again? The heavy ion high energy GCRs are not deflected by the magnetosphere and impact ISS the same as in deep space minus some shielding from Earth itself (which lowers the dose rate but doesn’t eliminate it).
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Yup, it's the atmosphere that (partially) protects us from those.
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