Final answer:
Physicians should approach truth-telling in chronic illness cases directly and honestly, balancing clarity with empathy, while respecting the patient's autonomy and the ethical need for transparency.
Step-by-step explanation:
In the context of dealing with chronic illness, a physician should generally aim to tell the truth directly and honestly to the patient for compassionate reasons. However, the physician must balance honesty with empathy and consideration for the patient's emotional and psychological well-being. While the act utilitarian perspective might lead to withholding certain information or even lying to maintain a positive environment for a longer period, the principles of medical ethics typically advocate for transparency and respect for the patient's autonomy. Essentially, even if the truth is difficult, a physician's responsibility extends beyond the immediate emotional comfort to ensuring that patients have an accurate understanding of their health so they can make informed decisions about their care.