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The loss in passive health regen outstrips the health gained from attacking an enemy. Not to mention both classes you mention do more damage then the healing you can get out the blutsauger.
If a heavy is struggling against a Blutsauger medic, then he's a terrible heavy.
I still have better aim with the stock needlegun.
it encourages medics to be freekills whilst making your health recharge unnoticable