Any daily use-limited abilities have that kind of problem; every spell you cast that isn't healing sacrifices healing. This is a problem on a lot of levels. Hopefully we can get off of that use per time paradigm.
Any use limited abilities that can be swapped to something else, yeah. It used to be in its own silo, which IMO makes sense if it's something inherent to the cleric's faith. I didn't like the "use turn attempt to X" feats in 3e either. Maybe it should even be an At-Will.