Do healers still downrank? I always remember as Druid healer it was Ht rank 4 spam unless we were doing a swift mend big heal.
Yes and no. If I'm trying to heal efficiently, I'm using Heal rank 3. That will change to Greater Heal Rank 1 when I get 8/8 Tier 2. This is my usual heal I cancel-cast when I'm pre-healing a tank or someone I know is going to take damage, like fireball targets in phase 2 Onyxia. I can keep this up forever.
I still use 2nd max rank flash heal and max rank shields in raid damage emergencies (because the co-efficients are garbage) and max rank Greater Heal when I use Inner Focus or when the target is guaranteed to get full value out of it. I also use max rank renew on tanks, but not on the raid.
Basically, like for most things in healing, there is no "Always best answer" - you stay flexible and do as the situation demands.
Also that above downranking guide is garbage. It only tells you the most "efficient" version of the spell to cast. Sometimes I don't care about efficiency. I certainly don't care about flash healing people for 500 healing.
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