Yeah, I'm a chiropractor myself, but at the same time, I try to see from a consumer/patient's perspective that it is difficult to cough up a few thousand for a "package" or an obscene amount for a pay-per-visit, hence I price my treatment charges are as reasonable as possible. I feel the pain too when I sign-up for a gym membership and they try to sell me a 12-month package for over Rm1k whereas discourage me from doing monthly payments which costs significantly more.

As for patients' mindset, honestly, I always believe it's the doctor's responsibility to educate them (that it takes more than a one treatment to recover). I don't think we should shove a thousand dollar package down their throat just to buy their commitment. Use education to secure a commitment, not their wallet.

As for physiotherapy, it is my opinion that chiropractors really should leave that aside. If you look back into the history of chiropractic, we didn't work much with physios, because it is the chiropractic adjustment that fixed the problem. The entrance of physios into the domain of chiropractic is very recent, and of course, as you've guessed it, an additional income source for the clinic. The chiropractic adjustment alone can already do wonders, and if need be, chiros should refer patients out for physio, and not just refer EVERY single patient to a physio.

Actually there are a few chiropractic clinics which open up till late at night, you just need to look for it. For me, I work till late nights (8-9pm) two to three days a week.