How would you create a dungeon group without the Trinity?

Agro implies someone will be taking more damage than others. While also taking the same unavoidable damage.

So if agro remains, there has to be no actual threat of taking damage from it

Since self healing will have to be designed and balanced for unavoidable/ intermittent damage

If self healing also covers a spike in damage from “tanking” it will make the same self healing over powered when you aren’t.