With determination to stop exploitation of vulnerable organ donors, the international transplant community, including the United States, reached a consensus regarding the principle of financial neutrality as a necessity for ethical organ donation.1-3 Financial neutrality means that “donors and their families neither lose nor gain financially as a result of donation.”1 Although McCormick et al discuss this principle in the accompanying Policy Forum Editorial,4 it is our opinion that they distort the meaning of financial neutrality.