I think you live in some different world, shardoolas give the titles, someone isn't born a sant so and so, I agreee there are blessed souls, but titles are given by chelea, a true sant won't claim this paadbee other wise they aren't a true sant, a contradicition in terms, your right those who do nindhiya of great souls will have to answer, but those who do some ustat (make someone a sant) will also pay,
ousathath ni(n)dhaa dhooo bibarajith thajahu maan abhimaanaa ||
Those who ignore both praise and slander, who reject egotistical pride and conceit,
ousathath ni(n)dhaa karae kiaa koee ||
How can anyone praise or slander anyone else?
the true great souls have the state of below,
ousathath ni(n)dhaa sabadh veechaar ||
I pay no attention to slander and praise; I contemplate the Word of the Shabad.
again the comparison of doctor to a sant is not valid, world parai is nothing in comparsion to spirituality, and through spirituality the sould become pure and does not want for praise, titles, chelea, it only wants one thing, man preet charna kamlarea...
anyways we do agree that their are souls which come from far away and have been blessed, you can call them what you like but these souls aren't recognised by titles or how much chleea they have, it is their jeevan, kamai, gursikhi which shines above everything, the problem lies with us, we want to put them on this paadvee to show that we are chleas of someone who is great.