If you want to make enemies, try to change something.
Its per attack, the main purpose is to boost FA not increase damage - though one hander pistols can gain a reasonable amount from it. If the medic side of the perk is too weak then it can always be cranked up.
The description says the damage is per attack, but +2 is really low. Could it be by bullet?
I think it's much better now. It's strange to see how everyone is a millionare in a wasteland..
My friend GrosDoc who play only medic say he was deceived to have took it: he still have crit fail pretty often (with 5 luck).