With Inspiring Word, as well as most leader healing abilities, the creature who is healed is the one that spends the healing surge.
You're missing my point. Inspiring Word doesn't heal anyone at all. It's not magic, your wounds are not closing. You're just being inspired to get up and keep fighting.
And that's fine, if you accept 4E's premise that hit points are an abstract quantity. But if hit points are an abstract quantity, then regaining hit points should not be called "healing." The terminology undercuts the abstraction.
Previous editions had the same conflict in theory - each edition made vague noises about how hit points were abstractions of a bunch of stuff - but they didn't have mechanics that relied upon that claim. You could ignore the blather in the rulebook and treat hit points as pure physical toughness, and if you were prepared to tolerate high-level PCs being harder than mountain rock and stronger than steel (mythic heroes, in other words), it worked. But that no longer works in 4E.
If you did that, you would completely screw over characters who have Wisdom or Charisma as their primary stat and have any intention of getting in melee, such as Wisdom based clerics or Charisma based paladins.
I'm not proposing that changes like this be made while leaving everything else the same. If the system were built from the start with this rule in mind, such issues would be accounted for. Clerics would probably have to accept a lower AC than everyone else, with some other benefit to make up for it.
For paladins, perhaps a variant of 3E's Divine Grace, such that for each defense they can use either [appropriate stat] or Charisma, whichever is higher.
Oh, one other thing I thought of. I kinda wish that copper and silver pieces weren't largely ignored. I'd like it if the base currency in low Heroic tier was silver, gradually moving up to gold by the end of the tier, then shifting to platinum some time in paragon tier, and then moving to astral diamonds by the end of epic tier. I just miss the good ol' days where a silver piece was the order of the day. (I blame inflation)
I don't recall those good ol' days ever existing... but they should have. I've always thought it silly that D&D had three currencies (five if you counted electrum and platinum), but prices started off so high that you might as well only use gold. The silliness is exacerbated in 4E, where prices inflate so fast that they had to redefine the platinum piece and add the astral diamond just to keep the numbers from overflowing players' character sheets.
IMO, silver should be the main currency of Heroic tier, with small purchases measured in copper; gold should be the main currency of Paragon, with small purchases measured in silver; and Epic characters should be mostly beyond thinking about money.
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