SAM macros?

[Kahnom]

Hmm...that's unfortunate as I play on ps4p.

I play on ps4 as well and yes, SAM got a bit of buttons bloat but still manageable.
You might not have enough room for some self-heal role actions but that's ok.
Also don't put merciful eyes on your hot bar. that skill is even more useless than MNK's Anatman.
And to answer your question, Don't use Macros.