Quote Originally Posted by aetherg
In addition to what everyone else in the thread has said, one thing to think about is that with 4x totem of wrath, +hit becomes completely unnecessary. So there is no need for +hit gear or any +hit talents. Stack straight damage as much as possible.
Keep in mind, you'll get another 6% +hit from the -threat talent in the elemental tree.

And for some reason, elemental purples are filled with +hit. What gives??? If you're patient enough, level leatherworking on your shaman as the gear you can craft should last until BT for PvE.