Many players get very lax about keeping up with Smothering Tithe triggers, but with card draw added in they'll be much more likely to pay their taxes
Most of the creature lineup consists of summons, which are Saga enchantment creatures, with the non-summon creatures being general enchantment and Saga support
Providing you with the ability to draw a card whenever you play a Doctor or Doctors Companion can be very powerful if built around
Dont be fooled though, this land is quite skill intensive
Commander Party Pro Tour Qualifiers Event Promo Store Championships Standard Showdown Notably, that last promo, Ultima, is a newly previewed card from the main set
This enchantment probably wont be the deciding factor, especially with a 3-mana price tag, but itll do a lot of work in those long and grindy games