I think if they want feedback, they could offer a free session to clients who wish to leave. Unless driven by fear or to protect oneself or other reason, I personally think ghosting someone is a ****** thing to do as its devaluing someone as a person.

Therapists really shouldn't call their clients patients because having patients denotes having some responsibility for continuity of care. Therapists generally aren't responsible for care except for the hour you are in their office. More and more don't take insurance these days and don't want low income clients. There's a link to an article about therapist discriminating against lower income clients as well as articles in the New Yorker, the New York Times and others.

For many-as soon as you don't have money, you are cut off from services. That's a business relationship and thus you are a client.

I don't see how one is more empowering over the other. When you have money and are healthy there seems to be more choices, but get a medical condition where you depend on the decisions of others--literally because your decisions as a patient have little or no weight if you are even given the chance to communicate them--and see how empowered you are. You can't order your own lab tests or imaging in most states, and you have to fight with the lab to see the results because they go to the doctor. It doesn't matter what you need-it only matters what the doctor thinks you need. Any doctor can make any decision they want, and there is little you can do. To get a second opinion, you have to wait 3 more months to see another, who may diagnose you during their 5 minute assessment and you can be dead in the meantime. Information is hidden from the patient and they create intentional barriers to simply get your records. When you are sick or poor, there's nothing empowering about healthcare whether you are called a patient or client.