Regardless of how a patient values their health, you can often shame them into buying another visit or two.
Shame is defined as a painful emotion caused by consciousness of guilt, shortcoming or impropriety. And don't forget its cousin: embarrassment.
Shame can be a motivating force--at least until patients feel better and other priorities emerge. But it rarely produces the commitment that many chiropractors hope to achieve by deploying it. Sure, you may get a few more visits you might not have gotten if you had respected patients and their personal decision. But in exchange, you likely reduced referrals and virtually eliminated the likelihood of a subsequent reactivation.
Careful with shame. Especially when tempted to project the value you place on health onto patients. It's the go to emotion if you want to get your way and heroically save patients from themselves. Which turns out is a thankless job.