Quantum Key Exchange (QKE, also known as Quantum Key Distribution or QKD) allows communicating parties to securely establish cryptographic keys. It is a well-established fact that all QKE protocols require that the parties have access to an authentic channel. Without this authenticated link, QKE is vulnerable to man-in-the-middle attacks. Overlooking this fact results in exaggerated claims and/or false expectations about the potential impact of QKE. In this paper we present a systematic comparison of QKE with traditional key establishment protocols in realistic secure communication systems.