Dude if you get used to it then its fine. Im avg at AD Carry and i get to 120 cs at 15 min which is what pro players achieve so last hitting again not a problem. The only time i ever really struggle or notice it is when i play with skill shot champions like Ahri, Casio and that is only in high pressure fights or if im attacking and running away i would miss one or 2 shots which i could have sworn i would have hit on 30 ping.
Ill love playing on 30 ping but 200 odd is good enough for me atm.