I don't think a medical-focused Trek show would have to take place during war time. Medical Ethics in general is ripe for the sort of show Trek lends itself to.

American here.

Did we just become best friends!???

No offense meant, because you raise a lot of good points on why Star Trek works as a setting, but I fundamentally disagree with the Star Wars take here. Historically, Star Wars has centered around the Skywalker saga for Personal (George Lucas) and Business (Disney) reasons, not creative ones.

Star Wars offers an excellent setting with a framework to discuss ethics and morality baked directly into the universe. Stories like Knights of the Old Republic have shown that you can get away from the main Saga and still tell an engaging story rooted in the universe that Saga created. Tons of old Legends content didn't tie directly into the original films and were excellent.

Andor has also shown that it's also just that bad writing is what leads to IP burnout. I couldn't finish Book of Boba Fett or Mandalorian season 3, but have watched Andor 3 times.

I work in the film industry and can say, with certainty, that TNG was not shot with the same consideration.

Television back then knew it was being mastered for SDTV and the artists had a good idea of what it meant they could get away with compared to something that would be screened in 35mm. Final screening medium has always been the most important consideration, not capture medium.

Audiences have also gotten less forgiving of visual quality and less willing to suspend disbelief as the bar for quality has steadily risen. It means that shows are both working on higher definition target mediums and under more scrutiny than ever.

Like, I love TNG but go watch and tell me that it looks half as good as SNW.