More options for heal reduction (grievous wounds)

With the new masteries, especially the ferocity branch, a player can have a lot more life steal/ health regen than they use too. But we only have 2 items and 1 summoner spell to counteract this. But those items only work into the builds of certain champions (AP Mages who use mana and AD based champs most commonly in the ADC role). However neither of those two items are a common build path for tanks or non-burst mages/ADC champions like Vi for example who would benefit more from than in terms of armor pen and the other stats it gives. But that is the problem. You do not always need armor pen (too that caliber) and morellonomicon's passive is only useful for under 40% health opponents. So an item that was neutral in terms of AD vs AP, but had some utility or tank stats would fit the bill since now everyone who has warlords bloodlust has up to 20% free lifesteal as a passive. How can a tank/bruiser combat the free sustain?