Yup met just a few folks like that, but if they truly felt that way it’s a bit odd to show up and then refuse help…like you said fear probably plays a role. 99% of the time people get it with the appropriate education/reasoning. Their life, their decision at the end of the day.
Everyone here likes to talk about these “bad incentives, “ but the only incentive I have is to get people better. I’m just a dude trying to help. The “incentives” are more of a national/health system problem. I’m but a humble serf.
Finally, the science is a tad bit harder than most think. I had to memorize the Krebs cycle for no reason and maths is hard sometimes 😂.