“Kindness is the language that the deaf can hear and the blind can see” – Mark Twain. Healthcare is a profession that should embody kindness. Cultural competence, open-mindedness towards other cultures, is essential for effective and kind healthcare in our current multicultural population. This case analysis will examine ethical dilemmas, moral theories, principles, alternative courses of action, and provide a recommendation on the morally best course of action for the case “Confronting a Fetal Anomaly” by Karen Peterson-Iyer. At first glance, this case might appear to be ethically correct and Dr. Fox's conduct was that of a normal Western doctor. However, upon deeper analysis, several problems emerge. The debate over whether to inform Leyla of her diagnosis in the above-mentioned case arises from the conflicting cultural norms between Leyla's family and the treating doctor. One of the main ethical questions is: was it necessary for Dr. Fox to ignore the family's wishes, religion and cultural norms. By refusing to wait for Mr. Ansari to pray, by insisting on telling Leyla herself, and by interrupting Ms. Ansari's prayer, Dr. Fox was insensitive to the religious and cultural needs of the patient and family. Furthermore, insisting on telling Leyla personally, even though he had noted that she was stressed and her family had informed him that she was too vulnerable to handle her diagnosis at the time, raises issues of competence. There is also the issue of informed consent and confidentiality when Dr. Fox hires her friend as a translator without her or Leyla's permission. Furthermore, instead of providing options in the prognosis, Dr. Fox gives a recommendation and does not discuss other possible prognoses. Moral Theories and Principles...... middle of paper ...... Terrence F. “Why Doctors Should Intervene.” Hastings Center Report 12.4 (1982): 14-17.Collier, Carol, and Rachel Haliburton. Bioethics in Canada: A Philosophical Introduction. Toronto: Canadian Scholars' Press Inc., 2011. 5-17, 75. Print.Fan, Ruiping and Benfu Li. “Telling the Truth in Medicine: The Confucian View.” Medicine and Philosophy 29.2 (2004): 179-193. Gawande, Atul. “Whose Body, Anyway?” Health Ethics in Canada (2011): 258. Macklin, Ruth. “Ethical Relativism in a Multicultural Society.” Kennedy Institute of Ethics Journal 8.1 (1998): 1-22. Peterson-Iyer, Karen. “Addressing a Fetal Anomaly.” http://www.scu.edu. Santa Clara University, January 2008. Web. March 13 2014. .Twain, Marco. Speeches by Mark Twain & Bros., 1910.