As you say neutrality is a fiction.
Everything the US does and has done is aimed at defending itself and its interests, which includes its allies, as it should, and as it must.
The extent to which these actions appeared neutral was just a product of the overwhelming power of the US and overwhelming unity - by virtue of deference - prevalent among the Western powers during the Cold War, in the shadow of a common enemy.
Global neutral institutions exist on a fictional foundation that becomes thinner by the day. For substantial matters on which there is no rational answer, the only solution is the exercise of power.