In part, yes, that's the question about the price being too steep for the effect provided. But the wizard with less spells is worse at only one thing - spellcasting. All of his other capabilities are untouched. The berserker who just used his rage is worse at things that are not necessarily related to combat.
Because HP in general isn't bound to any resource-expenditure mechanics, and is a resource that you don't choose to use - you just get hit or not. Therefore, any mechanic that makes you spend HP to achieve an effect, introduces an active way to spend a resource that wasn't designed to be spent actively, and is in fact more paramount to your survival than any other resource.