A critically important balance in educational measurement between practical concerns and matters of technique has atrophied in recent decades, and as a result, some important issues in the field have not been adequately addressed. I start with the work of E. F. Lindquist, who exemplified the balance that is now wanting. Lindquist was arguably the most prolific developer of achievement tests in the history of the field and an accomplished statistician, but he nonetheless focused extensively on the practical limitations of testing and their implications for test development, test use, and inference. I describe the withering of this balance and discuss two pressing issues that have not been adequately addressed as a result: the lack of robustness of performance standards and score inflation. I conclude by discussing steps toward reestablishing the needed balance.