Rolling around how healing magic in particular works in Tyria, largely because I don't think that healing is as easy and convenient in game. In game, it has to be that way- we need to be able to heal on the fly during combat.
In universe, I get the feeling it's a lot more like triage.
If you're a soldier - be it in the Pact, in any of the racial militaries, or the commander themselves - you need to be able to pick yourself up and get right back into the fight. Magic healing works best in this case. You effectively give someone an adrenaline shot and a slap on the ass and send them back into the fight.
Meanwhile, anyone else not in active combat seeking medical care is less likely to need immediate magical assistance except for to stabilize someone who's losing a lot of blood. Stop the bleeding then address the rest of the issues.
As a result, you DO see a lot of practical medicine in use in the vast majority of places in Tyria. It's far LESS common to see people actively getting treated for immediate injuries except for to triage immediate needs. A farmer with a broken bone is going to benefit more from a reset arm, splint or cast, and rest with some incidental healing to speed up the process than a fast heal.
And that can even extend to combat zones. You still need to clean significant injuries. Compound fractures, if healed with magic, can heal WRONG, leading to them needing to be re-broken and re-set. Severe wounds healed too quickly could result in a patient going into shock or worse, experiencing phantom pains, and significant scarring... in some cases it can also significantly increase the risk of infection.
I think you also see as many engineers as elementalists in healing fields, as well, simply due to the elixirs they can create. They're effectively Tyria's alchemists, creating mixtures that can have any number of effects on the physical body, and many choose to remain in that field, as working on medical devices created by asura and/or charr is as much of a challenge in itself as building their own devices to their own schematics.
Aside from that, I do get the feeling high level magic users aren't as common as in game. In game there's tons of us because it's an MMO, but in the world as it exists, I think the number of individuals with significant magic is considerably lower. Even in the Pact you probably have a lot of soldiers with basic training and maybe a gun but healing magic? That's for the commander and/or their companions!
I always just like playing with the idea of magic healing as a stopgap instead of as the core way healing is done. It leads to a blended world with interesting problems to solve on both sides: how much magic to use, when to use magic versus when to use traditional healing. Can you magic away a papercut? Probably, but it's more energy efficient to just slap some salve and a bandaid on it. It'll heal in a few days anyway.
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