The chapter questions the argument advanced by Professor John Griffiths in 2008 that the Dutch system of control of euthanasia had become effective. The chapter points out that, by relying on self-reporting by doctors, the system remained as 'intrinsically ineffective' as he noted it was in 1998; that there was still much intentional life-shortening which fell outside the Act's regulatory scheme; that the intepretation and enforcement of the guidelines by the review committees was lax; and that non-voluntary euthanasia had been condoned by the courts in relation to both infants and incompetent adults.