Maybe TuanHa can make an option "Heal out of combat" which will be checked by default and let the users chose how they like it to be. Like the attack out of combat on DPS routines
What you suggest is implemented already.
The "Attack out of Combat" option in this routine works exactly that way if you're a Holy Paladin, meaning it will both attack and heal out of combat.
If you don't want it to cast out of combat disable/uncheck that option.
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