Yes, but I dont have castrandom macros. Even stopping the DPS to a halt with 4 elementals or assigning one as dedicated healer, the DPs is higher than using castrandom.

I guess I will have to get some sort of extra mini keyboard or bind that heal to one of my extra mouse buttons in order to get a heal when it's really needed. Just was lazy to configure such setup and the conditional stuff seemed the most logical way to do it.
I know there is condition for harmed and 100% HP, but my paladin stays at near 90 - 95% on trash pulls with no other healing than the healing totems + seal of light + judgement of light, so this option would still spam and overheal him alot.