I have been following the news stories about the Tennessee mother that put her adopted child on a plane (alone) back to Russia because she could no longer cope with his significant health and behavioral problems. Although saddened by this case, I see a silver lining. Maybe, Americans will finally see that international adoptions are not necessarily any less risky than domestic adoptions. In an article published several years ago, I examined the reasons why many Americans prefer to adopt internationally as opposed to domestically. I am not opposed to international adoptions and in fact, believe that the law should encourage more families to adopt, both domestically and internationally, so long as the adoption is in the particular child’s best interest. However, I was puzzled that many families chose to adopt internationally despite the high financial costs ($20,000-$35,000), extensive delays, and bureaucracies in both the U.S. and the sending country. One common response was that domestic adoptions were too risky—specifically, that foreign-born children had fewer health risks than the children available for adoption in the U.S., international adoptions were less likely than domestic adoptions to be disrupted, prospective parents would have a child in their home sooner, and the process was less expensive. In the article, I summarized the literature debunking these myths. Here, however, I would like to focus on only one—the belief that foreign-born children have fewer health risks than those available for adoption in the U.S.