Background: Medical ethics is a rational area of moral philosophy that addresses probable outcomes and disputes in duties and obligations. There are two schools of ethics that focus on decision-making: utilitarian and deontological. While in the utilitarian method, outcomes define the means and most benefit expected for the greatest number of people, in the deontological approach, outcomes/consequences may not only justify the means to attain them. In this paper we explore the idea of striking a balance proposed by Mandal J., et al (2016) between two very strong and conflicting ethical approaches (deontological & utilitarian) viewpoints while making ethical decisions in the healthcare industry and focusing on real-world implementation challenges of these ethical approaches. We argue about the practical implication of “balance” as well as the limitations of “Dual processing theory of moral judgment”. Objectives: The objectives of this commentary are to critically analyze the concept of balance between utilitarian and deontological perspectives in ethical decision-making within healthcare and to highlight the challenges it poses in practical implementation. Conclusions: In conclusion, it is emphasized that striking a balance in healthcare ethics is important yet difficult, necessitating a dedication to compassion and honesty as well as a sophisticated grasp of ethical reasoning. In order to provide patient care that is both ethically sound and patient-centered, healthcare practitioners work to integrate utilitarian and deontological principles while taking into account a variety of contextual elements.