Since 2005, the Dutch have permitted doctors to euthanise minors so long as they act in accordance with a set of tight medical guidelines – 22 babies with spina bifida have been given lethal injections. But now the Royal Dutch Medical Association (KNMG) is advising that a new test be established for euthanising the newborn: if their suffering distresses the parents. In a recent policy document, the KNMG states that a lethal injection might be appropriate if “the period of gasping and dying persists and the inevitable death is prolonged, in spite of good preparation, and it causes severe suffering for the parents.”