Don't trust people? So no friends, no doctors, no one?
The psalm sounds extreme. The prophet Yirmiyahu (Jeremiah) sounds harsher: "Cursed is the man who trusts in people." But that verse does not stop there. It ends: "and whose heart turns away from Hashem."
Radak (Rabbi David Kimchi, Provence, around 1200) points to exactly that verse. If you do rely on a person, he writes, keep God as the main thing, because God is the one who puts it in a generous person's heart to help. Rescue belongs to God, and He brings it about through people. His example: the Babylonian exile ended through Koresh (Cyrus), a Persian king.
The psalm gives its own reasons. A human being "has no power to save." Ibn Ezra (Rabbi Avraham ibn Ezra, Spain, 1100s) reads that as: he cannot even save himself. And when his breath leaves, his plans go with him. The Talmud Yerushalmi (the Gemara of the Land of Israel) adds that a human protector has power in one province and not in the next. Even someone who rules the whole world rules the dry land. Does he rule the sea?
So should you skip the doctor? Ibn Ezra comes closest to saying so. A person with an eye disease, or stuck in bed, he writes, "should not lean on a doctor." On the Torah's words "he shall surely heal," he limits doctors to wounds that can be seen on the outside.
Others say otherwise. Chovot HaLevavot (Duties of the Heart, by Rabbeinu Bachya ibn Pakuda, Spain, about 1080) has a whole section on trust. A person must work at staying healthy, it says, and fight illness in the usual ways, as that same verse commands. He just should not think the cure helps or harms without God's permission. The Shulchan Aruch (the main code of Jewish law) rules that healing is a mitzvah, and that a doctor who holds back is like one who sheds blood.
So Radak and Chovot HaLevavot do not tell you to stop using people's help. They tell you not to forget who stands behind it.
Yirmiyahu 17:5,Radak and Ibn Ezra on Tehillim 146:3 and 146:8,Talmud Yerushalmi, Berakhot 9:1,Ibn Ezra on Shemot 21:19,Chovot HaLevavot, Gate of Trust, chapter 4,Shulchan Aruch, Yoreh De'ah 336:1It says Hashem frees prisoners and opens blind eyes. So why hasn't He?
The psalm says it in the present tense: justice for the oppressed, bread for the hungry, prisoners freed, the blind seeing. You know that is not the whole picture. The commentators knew it too.
Radak says two things that help. First, he adds the same phrase to line after line: "in every generation." He reads these as things God does again and again, in each generation. He does not say that every prisoner in every generation walks out. Second, he says the list is also the story of the Jewish people in exile: oppressed, hungry, locked up. "Blind," he says, may be meant literally, or it can mean people in great trouble, because "trouble is like darkness and rescue is like light."
Midrash Tehillim moves it to the future. No suffering is as hard as blindness, it says, and when God comes to heal the world, He will heal the blind first. It also has a second reading. The blind are "these generations," who read and do not know what they are reading.
Radak ends up in the future too. On the last verse he asks, "And when will this be?" His answer: when Hashem reigns forever and the whole world recognizes that He is king. So for Radak, at least part of this is still ahead.
Then there is Yosef, in the first Story card. He answers a threat of prison with "Hashem frees the bound." The Torah says he was put in prison anyway, and that later Pharaoh sent for him and he was rushed out. The Gemara does not comment on this. It only shows Yosef saying the verse to the person threatening him.
None of these sources claims that every prisoner goes free today. The Ashrei prayer takes up the same question about hunger, in its second hard question.
Radak on Tehillim 146:7, 146:8 and 146:10,Midrash Tehillim 146,Yoma 35b,Bereishit 39:20 and 41:14"Hashem loves the righteous." What about the rest of us?
Look at where the line sits. It is in a list of people God looks after: the oppressed, the hungry, the bound, the blind, the bent, strangers, orphans, widows. Almost all of them are on the list because of what they need. Only the righteous are there for something they did.
And a minute ago, in Ashrei, you said: "Hashem is good to all, and His compassion is on everything He made." So the davening itself does not limit God's care to the righteous.
Midrash Tehillim first says simply that they love God, so God loves them. Then it asks why, and answers: because being righteous is not inherited. A kohen is a kohen because his father was one. So is a Levi. If you want to be one and your father was not, you cannot. "But if a person wants to be righteous, even a non-Jew can." The righteous "volunteered on their own and loved the Holy One."
The Midrash goes straight on to the next words, "Hashem guards strangers." Ibn Ezra explains that strangers have no one to help them, because they come from another nation. The Midrash reads the word, gerim, as converts: people who left their family and their father's house and came to God. The note on that line tells its story of the king and the deer.
Not every line is this open. The same Midrash asks whether God gives strength to every orphan and widow, and answers: only if they are righteous. Ibn Ezra reads "loves the righteous" as protection. God guards them from being oppressed, hungry, bound, blind or bent.
So the sources pull two ways. There is care for anyone in need, and a particular love for people who chose it. What the Midrash insists on is that nobody is born into that second group, and nobody is born out of it.
Tehillim 146:7-9 and 145:9,Midrash Tehillim 146,Bamidbar Rabbah 8:2,Ibn Ezra on Tehillim 146:8-9