When it comes to VAP, sloth and gluttony rule the ICU. Strict adherence to evidence-based practices is presently the exception as opposed to the rule. Accordingly, our efforts need to concentrate on those areas likely to have the greatest effect: education, prevention, early and accurate diagnosis, and appropriate empiric therapy. If we are not executing these fundamental strategies correctly within the present system, what will be our motivation in the future? VAP outcomes will potentially be worsened by adding pride, lust, wrath, greed, and envy into the existing toxic milieu.