It's also worthy of note that using a Thin Air on a Medica II isn't an MP gain by itself. Thin Air is always 0 MP either way, so as long as you're not using expensive heals outside of it, you can't milk extra mana from it by using more expensive things inside of it.The lilies effectively upgrade Cure II and Medica to be instant cast and cost no MP.
Adding a damage dealing, MP restoring lily would be, at best, awkward, because the lilies themselves are meant to be MP positive by saving you from spending MP on CureII/Medica, and then refund some of their damage via Misery.
As for spending Thin Air on Medica or Medica II, there's never a reason to spend it on Medica because Afflatus Rapture is exactly a 0 MP Medica so if you really really need it (you probably don't) you can use Rapture instead of Thin Air + Medica. You could spend Thin Air on Medica II, but if you're sitting on an unused Thin Air just to wait for the opportunity to use it on Medica II, you might never use it because healers have so many oGCD AOE heals that Medica II is often nothing but overheal.

As far as oGCD heals go whm doesn’t have the capabilities that other jobs do. We have Tetra with a single charge on a 1 minute cooldown, Assize which should be used on cooldown for damage and mp regain, benediction on a 3 minute cooldown, and asylum on a 90 second cooldown. WHM doesn’t have the oGCD staying power that sch does (lustrate, excog, soil, indom, the fairy and it’s skills are all ogcd) or ast (2 charges of Essential Dignity, celestial intersection, celestial opposition, collective unconscious, earthly star, and even lady of crowns again come endwalker). As a WHM you frequently have to rely on your cohealers oGCDs in order to avoid GCD healing yourself.
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