You're one of those people I would count amongst my "going for rankings" then to be honest, you already have your madness kills and loot from it, so you can afford to do that - OP is still 6/8heroic so needs all the help he can get for now at least, not because they are "bad" or anything stupid like that but because they haven't got the practice or the drill correct yet. What you have done is an option but it needs to be stressed that it is and option, and not the thing which has to be done.
On a side note, you have Hc Souldrinker and only 1/2 in Reckoning
That second point would make your damage and self healing go WHOOSH.