I don't actually think it needs any explanation to be honest.
The fact that healing was always available to the PC and most mage companions gives the erroneous impression that healing was commonplace. It isn't and never has been in the lore beyond the game itself, and that was just a concession to gameplay because healing was integral to combat and they wanted you to have control over it.
If anything they are bringing gameplay back into line with Lore rather than breaking it.
Pretty much after reading the books and codex entries healing requires INCREDIBLE finesse and control and is the hardest to master. Hence why anders and wynne were such good healers and healed in the middle of combat was simply because they were possessed by spirits. While most healers call on spirits to aid them and calling on spirits with just mana and lyrium is pretty hard considering merril says it takes a HUGE amount of lyrium just to summon a spirit. Hence she used blood since you require such a small amount of it compared to using mana/lyrium.
They are bringing the gameplay back in line with lore as you said.





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