A traveler should plan safely, a sick person should seek appropriate care, and people should make responsible decisions. Using practical means does not contradict belief in decree.
Example: A traveler knows the time of death is known to Allah, yet still checks a vehicle, travels carefully, and informs family. حَاجَةً means a need or matter that draws one somewhere; it does not imply every journey is extraordinary.
Hadith 266 will also teach hopeful speech to a patient without claiming that hopeful words change what has been decreed. Both reports require balance.