Thing is the devs clearly only look at the current expansion they are working on atm ShB but that will shift by about 5.4 to 6.0 expansion.
The healer design we currently have does not take into account pre 5.0 content at all and it was something I personally was preaching from the moment media tour embargo was lifted as it was very clear to me everything that was done does not care about 2.0-4.55 content.
ARR and HW have a bigger disparity in downtime than SB and ShB due to the devs actively designing what if cleric stance locked or allowing decent time for cleric to be put on, mechanics are slower, less punishing. Now they have taken a large portion of what healers did during that downtime but the amount remains and actually has been amplified by ShB changes.
Also anyone could easily see that for over 70 levels 1 dot + 1 nuke is incredibly stupid and boring design. But if you just look at 70-80 doesn't look as bad now does it especially with ramping mechanics up (though not that punishing still but I don't expect that from dungeons and story trials) and frequency of mechanics.
It is very clear with dungeon design how much they expect the general population to deal with as the expansions go, I was actually shocked by Philia having as much as it did tied to it despite being very easy and manageable.
Evolution of healers have unfortunately followed dungeon design where they feel that you have to deal with more so we need to take away as much distractions so you can focus more easily.



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