Cultural competence, therefore, is not optional. It is essential clinical skill. This includes acknowledging that research and product development have historically underserved melanin-rich skin, despite it representing the global majority. It means comprehensive staff training, culturally sensitive treatment environments, inclusive language and imagery, and protocols that respect physiological and psychological realities. It also means integrating traditional wellness practices from diverse cultures, not as trends, but as legitimate, often barrier-respectful approaches aligned with corneotherapeutic principles. Flattening history flattens harm. Sanitizing language sanitizes violence. And sanitizing violence makes its lasting impact easier to deny.
