Goodbye standard of care, hello reasonable practice

The term "standard" has become ubiquitous in our everyday conversation. In some cases, the term is used appropriately. For example, it is standard treatment to give antibiotics for bacterial pneumonia, and it is standard management to provide PCI or thrombolytics for a STEMI. However, the more that we look at syntax and semantics, the more we realize that the term "standard" isn't quite … well … standardized. Standard socket sets all have the same sizes, but standards of living vary dramatically between countries. Even in what we consider "standard" treatment for pneumonia, there is considerable variance.