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Some co-healers in PUGs are literally not worth the Swiftcast + MP + GCD to raise. That's not even me being an elitist here, sometimes PUGs won't survive the fight if you raise them, or they are so bad that your MP usage is that much more efficient than what they'll bring to a fight.
I will not raise in Titan HM if you died more than 1-2 times, you will remain dead and it's not because of elitist or anything, it's just realistically you are not going to survive the stomps so there's no point in raising.

Have to say i haven't met a healers that is like "Screw you, you F'd up and died, so I'm going to make it obvious to the entire group by leaving you dead. And look at how good I am solo healing." but if that ever happens i probably deserved it.