It hurts, yes, but it's not even close to "one of the key factors of a shaman team" imo.
It would vary for every person (talents/gear/how much you hate drinking

), I'm sure, but I typically drop 1xmana,3xhealing. If I need any resist totem (which is quite frequently), it replaces one of the healing streams. I even sometimes run 2 resist totems, which brings me down to 1x healing stream. My group makes it just fine, and yes, some of these fights are heavy aoe dmg fights too.
I'm not happy about it either, but it isn't groundbreaking. I would recommend staying on target and getting those shaman to 80.
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