No one has to take meds/be compliant unless they want other people's help (including money/support if they cannot support themselves) or they cause a problem (the gang gunshot victim gets treated in the ER whether he or the person who shot him wants that or not). No one's "spirit" is better than another person's and if one's actions cause another person problems and they are unable or unwilling to stop, they will be stopped by society's (majority) rules. The group will always have more power than the individual; here in the US the individual has more freedom than elsewhere in the world.