<jats:p>This article is the result of exploratory research on the communication/relationship between physicians and patients conducted in Argentina, Brazil, India and the United States. The study sheds light on the different strategies, 109 physicians from these four countries use when they tell a patient that s/he has leukaemia. Results from the United States suggest that the American physicians, on an average, tend to tell patients directly and explicitly that s/he has leukemia. In Argentina, Brazil and India, however, data indicate that physicians tend to share the same news with a patient in small doses over time and/or tell a family member before telling the patient. A physician in Brazil referred to this strategy as using ‘halftruths’ strategies when communicating bad news to their patients. The notion of ‘truth’ in physician– patient interaction is analyzed in this article focusing on disclosure, deception, legal, ethical and cultural implications to the topic.</jats:p>