How does one keep these things in practice in the reality of an over-committed software team with shifting priorities, difficulties interfacing with product management, and bad specifications/requirements that eventually result in significant scope creep? I often feel like I want to refactor code, but the cost of doing so is so high that it would slow me down to the point of missing a deadline. "It works" is usually as much as I have time for.

Maybe I'm just not a very good programmer...