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How far are you into the game and do you have a save prior to walking away from him?
Nope
Yes, you can switch them out at your camp.
I do not think there is another chance for Gale due to his condition. I would recommend restarting the game if you value him that much. It might give you an overall better experience than continuing with the regret and thoughts that youi have might missed important.
Alternative would be just to go on and checkmark it as results of your decisions as it should be and enjoy his company in a future playthrough.