Right but adjusting for a critical Medica isn't overly useful IMO. It literally means once in a blue moon I have a free GCD that just poofs. Its not efficient to randomly flip to cleric stance there for one GCD drop a dot and then flip back to AE healing mode. While you do save a slight bit of mana (assuming you catch that you crit and can skip the next AE... ASSUMING that you crit enough to properly skip it). Again rather than going through all of that for a few spastic extra criticals I would MUCH MUCH rather have a a tenth or two tenths of a second faster cast speed allowing me to better side cast, hit heals during tricky mechanics, and otherwise top people off early rather than latter.
All of those advantages FAR outweigh a few spastic critical. This thought process assumes one is considering spell speed vs critical.
Now if one were debating Det vs Crit... I would go back to the overheal issue... most crits = overheals which aren't useful. Now... one could ague how often does the X small percent matter for additional Det mechanically speaking. And that is a very healthy argument. None the less it would be brutally difficult to prove out how useful (or unuseful) extra det is, in which fights, at what HP thresholds under what conditions. Reguardless none of the fights are designed assuming that you get critical heals on any specific mechanic. They assume you hit some minimal healing threshhold to correct the damage taken, and everything past that is gravy. Personally since you don't control if and when people get randomly nipped, nibbled on or take other tid bits of damage they shouldn't, I prefer extra raw Det (even if its weighed less) over random criticals which sometimes are there when you need them, and sometimes aren't.
But any which way I readily admit stat weighting, preference, and personal playstyle can vary. Likewise ones exact raid composition, mechanics and expected damage can vary as well. So mileage for folks is most certainly going to vary some.

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