Likewise there's a big difference between forcefully inserting yourself as a necessary catalyst (aka, a middleman), and meaningfully improving someone's life.
It's the difference between someone who INVENTS a medication, and someone who collects 5% fee any time you PURCHASE the medicine. Sure, the pharmacists might go on and on about how they are helping people, but really it's the chemists that are doing the hard work that ultimately are the ones improving your life.