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I'm trying to understand what you don't like about the system, and as far as I can tell it's this: "Only because there's no way to model longer-lasting injuries in 4E. " And from other things you've said, your problem is the following: In 3.x a 5th level character has 100 hp, he takes 80...

The rules explicitly state that encounter powers recharge after a "short rest" Then the "short rest" duration is not explicitly stated ("from 1-5 minutes"). So the rules explicitly allow you to use an encounter power every 5 minutes. As a DM I would probably allow encounter powers to be used...