In an interview with the Medical Ethics Advisor about the controversy surrounding the use of non-heartbeating cadaver donors (NHBCDs), James Childress asks, "Are some current ethical boundaries moveable in this debate?" To save more lives and give more families the option of donation, the University of Pittsburgh Medical Center (UPMC) Protocol for NHBCDs has already moved ethical boundaries. The revisions in the Protocol, described by DeVita and Snyder in this issue of CQ, move them further still. While the University of Pittsburgh can be praised for developing a clear protocol and subjecting it to wide and open scrutiny, many of the arguments offered by DeVita and Snyder to justify specific changes in the protocol are not convincing.