I have tank healing rotations, healordie, touchup, dps, and mute. They both work off the same "dps" grind, but i shift they target binding on the multiplexer. I jamba I have a healbot tag if a class is an active healer spec and their dps rotation is usually a "token contribution" like your suggestion.
I will be mashing Backspace, all the non-tanks will be doing their dps rotations. I can with one key turn those dps rotations into the boss (debuffs, manage cooldowns), allout (unmanaged cooldowns), or trash (no cooldowns) macros in jamba (again, those will differ if you have the healbot tag). During the combat runtime I will shift the keybindings to healordie or touchup.
So if there is a fight that starts out slow and will progress later, like Novos for example. I would have the healer muted and everyone will trash dps. So all the dps are doing their thing and the healbot is doing nothing (mute being just --- for a macro). Then the lich pops and i will shift the dps to boss and the healbot to touchup.
All the while i am still just tapping backspace into the multiplexer and the multiplexer is pushing keys out to the wow windows. After combat my "buffup" key resets everything to "trash/dps" so I don't accidentally blow heroism / elementals or something.
I still have access to the keys when the healer is "mute", so if i want to manually toss stuff at them I can do so. its just in the muted state nothing from the backspace button mashing effort is going to the healer.
I don't roll with earth shield, but I would treat it like a tank buff that the tank would need to maintain and just have an poweraura alert if its missing and manually reapply it.
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