These authors perpetuate the offensive, inaccurate terminology removed from the draft OPTN/UNOS KPD Guidelines due to my objections. One cannot renege on a gift, only on a promise or a contract, especially on a gift not yet given. We can not and do not provide full, informed, final consent until the general anesthesia is administered prior to our organ removal surgery. To imply any promise or contract in a KPD chain inappropriately burdens these donor candidates. This language was flagged as unacceptably inaccurate almost a decade ago at the highest level of national policy development. These authors, and the editors of AJT, please revise this title and article content. Thank you.