So in today's patch, I used the random SoW vendor to get my item rating to 270, through a combination of rolling for slots and using the new random mods box. I still don't like the fact that RNG is giving me tank gear and mods on my dps, that's extremely frustrating.
I burned through 6,000 tech fragments to do this (and I already had 3 270 pieces from before the current patch), which I obtained through buying 15 million credits worth of med pacs and deconstructing them.
Others have already pointed out that the RNG still doesn't let us itemize our gear, and that's a real problem. Today on live, when I get a toon to level 70, I can immediately buy a complete set of 230 gear with the mods and stats I want. On PTS, I've burned 15 million credits to hit the first "tier" of end game gear at item 270, and my accuracy as a dps is 107.8%. How am I supposed to get it to 110%? If I were on live, I'd think twice about running a Veteran Mode operation with as a dps toon with less than 110% accuracy, and I expect I'd get kicked out of any Master Mode ops group with that accuracy rating.