It lets you set up multiple multi-step macros and decide how long you want one 'set' to fire. It's useful for, say, having one macro that builds up focus/rage/whatever and then another one that dumps. You usually know about how long it takes to build up and then spend points, so you can weight things such that it isn't as good as the old conditional macros were before Blizzard removed that feature but it's about as good as it gets without playing each character individually. Some classes are pretty close to solo play and some are worse; the more random the point generation, the less efficient any pre-programmed setup is going to be.
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