A pledge that lasts a lifetime cannot run on sincerity, because sincerity is a mood and moods are weather. It runs on things booked at a desk before you leave the building.
The next appointment made while you are still standing there. The repeat prescription ordered a week early. Water within reach of wherever you actually sit.
None of it feels like devotion. It feels like admin. Over forty years the admin is the devotion, and the body, which never asked for a ceremony, takes it as one.