Itemization is very difficult, I have not looked into the 5 man gear list but i hope they have misc. gear with spirit otherwise I'm going to wear 359 gear items till 90. the staff is nice, the tier is nice that's all I've replaced in Firelands as well. there isn't a good belt for cloth healer nor wrists. easiest way for blizz to stop worrying about making new items is give us a basic 8 tier set purchased with points from dungeons and build up our gear as we progress in the game, aka add 10% on every stat for next raiding tier. just a thought but i would want that then best in slot be an item from the first raid instance.