More that I believe in the condition is serious. They could have used him this year to win. Its not like they tried to tank.
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Let's frame this a bit differently:
You like George Hill, right? Would you like him at $25M? Obviously that's a huge risk you'd be taking, especially if there was a 2x precedent that he had to be ruled out for the season. If we let George Hill go it's not because we don't like him and not because we don't think he can help us compete and be better.
Bosh makes $25M. He's been ruled out for the season twice. Insurance is paying 80% of his salary. There's a chance to petition for cap relief so the future of the franchise isn't handicapped by a max contract that isn't really being utilized. Now consider bringing him back. How risky is that proposition? You lose insurance payments and even if you can get them back will have to jump through a lot of hoops. You also sell out a lot of your arguments for cap relief. How much can Bosh bring? What are the odds he gets rule out for the season again? If history is any precedent, pretty high. There are legitimate reasons to hold him out, naturally. With how much you could lose having his comeback backfire, what could you gain by bringing him back? Now you see where the scales are really tipped for Miami. If some team has him on the hook for $5M they can bring him back if he's healthy or don't if he's not -- there's very little risk involved. When you have $25M/yr and your cap space on the line, it's awfully foolish to ignore than elephant.