Yes, the early Underwood pickups were often used with amps having an input impedance of less than 1Meg, so a buffer was beneficial. Since the crystals are quite small inside the brass wings, there was a lot of benefit to buffering with those amps.
Since many amps these days are 1Meg or greater, there is much less benefit to a higher input impedance, and there is significant drawbacks with regard to noise (cable and circuit) as well as RF interference (especially close to RF sources such as radio transmitters).
I was working on pro audio and acoustic products (specifically active direct boxes and pick-up systems for acoustic instruments) around the time that the Underwood pickups became popular, Don's mechanical design was the first practical design for bass guitars (also used on cellos and even viola/violin) because it was easy to install. They did suffer from a lot of broken crystals because players couldn't follow the installation and handling instructions though. Underwood was another San Francisco Bay Area company that pushed the industry forward, this was a great (and fun) time to be working in audio. The fact that they are still relatively popular is a testament to the quality of the basic design.