Why can't a computer programmer or digital artist teach his buddy the plumber, who he's spent years looting and camping with, one single PerlCGI script or Photoshop faux-Impressionist image.
No reason. They surely can. But the last time I checked, the real world didn't operate under D&D rules (any edition). I though we we're talking about imagery worlds, constructed wholly or in part, using various D&D rule sets.
And you'll note the worlds constructed using the various editions of the D&D rule set don't closely resemble our would of computer programmers and plumbers. For example, I (a computer programmer, in fact) would almost certainly die if I jumped of a tall cliff, and aging certainly hasn't made me smarter nor, sadly, wiser (also, much to my chagrin, I can suffer from limb-loss and cancer).
I think you know the definitions of verisimilitude, gamist, simulationist, etc. so let's not waste our time on this.
Sure. But I think they hurt discussion more than help (though I'm guilty of using them myself...). Honestly, I don't really know what people mean by 'simulationist'. No edition of the game, considered from the standpoint of the actual mechanics, prioritizes simulation of a fictional world (and I say this as someone who once wished they did). The needs of the game (ie, playability, goal/reward structures, balance) have always won out.
Which isn't to say people haven't brought sim-like elements to D&D at their own tables, in their own campaigns. They surely have. But the operative words are 'brought to'.
Where's the simulation in prior editions of D&D? And what's it
of?
Ah, page 42. Who needs rules about anything, where every possibility is covered under page 42.
I was offering a specific and practical suggestion, the long form of which is 'allow the loved one to make a CHR attack against the injured person, if successful,
heal an amount of damage a la page 42 damaging stunts'.
It's an example of how to model the situation you described using 4e.