Wasanelderonce: I think this is the key: "When it comes to health care and other matters, each of us needs to make a personal decision and accept responsibility for it."
You are probably right. It is the key.
But I think the Tower probably means this: "Don't come after us in court. We wash our hands of you. You are responsible - the Tower isn't responsible for all your faulty health care choices."
Maybe they are facing some legal challenges from people who have been affected by the Tower's barbaric demands for human sacrifice.