The problem is identification of physical persons. Your e-mail is public, but it also identifies you as a person. This is important, because it allows for correlating different data sets.
Touch Surgery sounds like a honest company, so for them this was just some extra burden. But the same law prevents ShadyAdtechCo from getting datasets from several companies and joining them on e-mail column to build a profile of you, without your explicit, informed consent in several places.