In the twenty-first century, the use of standardized tests as the primary means to evaluate schools and teachers in the United States has contributed to severe dilemmas, including misleading information on what students know, lower-level instruction, cheating, less collaboration, unfair treatment of teachers, and biased teaching. This article provides reasons for the increased use in high-stakes testing and detail on the problems it causes. Also included are possible solutions to alleviate the concerns associated with high-stakes testing.