The thing about the Palladius proc is it's an unresistable life tap and self-healing is very good.
For anything with an attrition component it's money. Given a PC has a fraction of the health of a NPC, the EV from the self-heal is far larger than a DD.
Now if you're just DPSing something and taking 0 damage, then it's not optimal, but even then it's close enough that it doesn't actually matter.
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