It's the leg separations on the Deff and the Pogorolev and late turn on the Healy that kill his E-score.
I actually wrote to him about the Healy, suggesting he take it out and count a giant. He said "I basically just see the Healy as I don’t gain anything or lose anything - but it gives me a 0.2 higher SV for selection for Worlds than a giant would which is favourable for the meantime".
I firmly disagree. He can do a clean el-grip giant for a B (between the jam and the Pogorolev. Actually, a Russian giant for a C could go there, but those are hard to learn for most guys, I think). That's only a loss of 0.1 in D-score but he could do it cleanly for 0.3 or 0.5 back in E-score.