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I think Sam Klien made clear that he is AGAINST middlemen and used the following examples:
“dependent on Hashem alone, not on doctors, bosses, medicines etc…”
So going to a doctor for health (which BTW the Torah says “v’rapo yerapeh” – see Rashi that reshus was given to go to a doctor), getting medicine, asking a boss for a raise – THESE are all “middlemen” which he is AGAINST, just as he is against going to a tzaddik or rebbe (in a similar capacity of “middlemen”).
He is implying (or even saying explicitly) that going to a doctor, buying medicine or accepting help from another person is a lack of emunah!
According to him, when I help a poor person with tzedakah, I am derailing his emunah. I should tell the poor to learn Shaar Habitochon.
Apparently, he is also against making a hishtadlus or a keli (by going to a shadchan or getting a job).
And that is NOT OKAY!