Is a paternalistic approach to truth-telling in medicine ever justified?

The essay must address all the following questions:
Is a paternalistic approach to truth-telling in medicine ever justified? If so, then how would
you ethically defend it and what practices would it involve? If not, then how would you
ethically defend an approach that prioritizes autonomy? How would that approach differ
in practice from a paternalistic one. Use case examples to illustrate your reasoning.

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